This Client Agreement and Power of Attorney, also known as Client Agreement and Authorization, (this “Agreement”), consisting of two (2) pages, must be signed, dated and delivered to Canadian Pharmacy Service(“CPS”), a provider of international pharmacy referral and administration services, by any customer or client (“I” or “me”) who is purchasing prescription medications (“Medications”) through CPS by using the CPS prescription service. I acknowledge and agree with CPS as follows:
It is my understanding that all such intermediaries will enter into Confidentiality Agreements where they agree to abide by the privacy policies of CPS relating to the protection of my personal health information. I specifically consent to the transmission of the forgoing information by electronic means.
* I represent that ALL of the following statements are true and agree that CPS and its employees and contractors (physicians and nurses, pharmacists and pharmacy technicians) are relying on these representations:
Nothing in this release shall be deemed to release any CPS affiliated pharmacy or fulfillment center or pharmacist contractors from compliance with the applicable standards of practice or usual professional duties and obligations, which a pharmacist owes.
* If any term or provision of this agreement is determined to be invalid or unenforceable by any court, such determination shall not invalidate the rest of this agreement which shall remain in full force and effect as if the invalid term or provision had not been made part of this agreement.
Please contact us if you do not understand these terms of service or want us to clarify something by sending us an email.