Patient Acknowledgements
Important patient consent and acknowledgement information
Please review each acknowledgement carefully. By using our services, you confirm your understanding and agreement to each of the following statements.
1. GetItPrescribed Is Not a Healthcare Provider
I acknowledge that GetItPrescribed is not a physician, pharmacy, or healthcare provider.
GetItPrescribed provides administrative, management, and technology services to support independently contracted clinicians in delivering telehealth services. All medical decisions and care are provided solely by licensed healthcare professionals, not by GetItPrescribed.
2. Authorization to Share My Medical Records With Treating Providers
I authorize GetItPrescribed to release my medical records to any licensed healthcare professional with whom I schedule an appointment through the GetItPrescribed platform, for purposes of treatment, continuity of care, and clinical decision-making.
This authorization supplements what is already allowed under HIPAA but is included here for clarity and transparency.
3. Disclaimer of Responsibility & Limitation of Liability
I understand and agree that GETITPRESCRIBED DOES NOT PROVIDE MEDICAL CARE, PHARMACY SERVICES, OR LABORATORY SERVICES.
I understand that GetItPrescribed is not responsible for the medical, pharmaceutical, or laboratory services I receive from independent clinicians, pharmacies, or laboratories.
I expressly waive any right to bring a claim against GetItPrescribed for services provided by independent healthcare professionals, pharmacies, or laboratories.
GetItPrescribed performs initial screening to verify that affiliated clinicians hold appropriate licenses; however, GETITPRESCRIBED DOES NOT GUARANTEE THAT PROVIDERS REMAIN CONTINUOUSLY LICENSED. Providers are solely responsible for ensuring they are properly licensed at all times before rendering care.
4. Choice of Pharmacy
I understand that if a treating provider recommends a medication, the provider may send the prescription to a pharmacy known to be able to fill and ship that medication, particularly for compounded formulations.
I may request that the prescription be sent to my preferred pharmacy instead, but I acknowledge that not all pharmacies have the capability to fill all medications—especially compounded medications.
5. Binding Arbitration Agreement
I agree that any dispute arising from my use of the GetItPrescribed platform or services will be resolved through binding arbitration, rather than through litigation or a jury trial.
This includes disputes related to telehealth services, platform use, payments, and interactions with affiliated providers.
Please Check All Boxes
During the consultation intake process, you will be asked to acknowledge each of the above statements individually. Your acknowledgement confirms that you have read, understood, and agree to these terms as a condition of using the GetItPrescribed platform.
Questions about these acknowledgements?
support@getitprescribed.com