I declare without any restriction:
a) that I have read the terms and conditions and the disclaimer on this website and agree with their content and applicability
b) if the prescribing doctor needs more information he may contact me by e-mail or telephone,
c) that the information I have given is complete and without reserve,
d) I herewith instruct the dispensing pharmacy to contract a carrier for the shipment of the medication ordered on my behalf and at my risk,
e) I agree to read the patient information leaflet provided before using this medication.