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  EXISTING CTOMERS
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| New Orders & Reordering Prescription Drugs |
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| For legal purposes the "UPDATED CANADAMEDS CUSTOMER AGREEMENT & RELEASE FORM" must be agreed to before a refill or new order request is made. Once you have clicked on "I Agree" you will be taken to the refill request page. |
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CANADAMEDS CUSTOMER AGREEMENT & RELEASE FORM
By Clicking I agree, it serves as your signed agreement to this Customer Agreement & Release Form.
THE UNDERSIGNED, BEING OVER THE AGE OF 21, HEREBY:
1. Represents and confirms to Canadameds, that the pharmaceutical(s) to be delivered to the undersigned were prescribed by a doctor licensed to practice medicine in the country, state, or other applicable jurisdiction in which the undersigned resides, that the prescription(s) for the pharmaceutical(s) were lawfully obtained from that physician and that the pharmaceutical(s) will be used only as directed and only by the person for whom the pharmaceutical was prescribed.
2. Acknowledges that Canadameds and Canadameds’ employees and agents have relied on the information and documentation provided by the undersigned (including the Patient Questionnaire) and the undersigned represents and confirms that the undersigned has, to the best of his/her knowledge, fully disclosed all pertinent requested information and documentation to Canadameds. The undersigned undertakes to notify Canadameds of any changes to his/her physical or medical condition by providing an updated Patient Questionnaire.
3. Understands that it is my responsibility to have regular physical examinations by the licensed physician whose care I am under, including all suggested testing by said physician to ensure I have no medical problems which would constitute a contradiction to me taking the medications being prescribed for me.
4. Authorizes and appoints Canadameds, as his/her agent and his/her attorney for the limited purpose of taking all steps and signing all documents on behalf of the undersigned necessary to obtain a prescription in Canada for the prescription sent by the undersigned to Canadameds, to package or repackage the pharmaceutical(s) and to deliver them to the undersigned, to the same extent as if the undersigned could do if he/she were personally present taking those steps and signing those documents himself/herself.
5. Authorizes and appoints Canadameds, as his/her agent and as his/her attorney for the purpose of taking all steps and signing all documents on behalf of the undersigned necessary for shipping his/her prescribed pharmaceutical(s) to the undersigned as if the undersigned has shipped the prescribed pharmaceutical(s) to himself/herself to the undersigned’s address.
6. Understands and acknowledges that the pharmaceutical(s) will not be packaged in child protective packaging and the undersigned releases and discharges Canadameds and Canadameds’ employees and agents, from any and all causes of action with respect to the late delivery, non-delivery or missed delivery of the pharmaceutical(s) sent to the undersigned.
7. Acknowledges and agrees that the undersigned initiated a consultation with Canadameds and that Canadameds is not located in the United States. The undersigned acknowledges that the physicians and pharmacists working for Canadameds are located and licensed to practice medicine or pharmacy in Canada and that all treatment I am receiving from the said physician and pharmacist is being received in Canada.
8. Acknowledges and agrees that any and all agreements reached or contracts formed throughout the course of the relationship between the undersigned and Canadameds shall be deemed to be made in Manitoba, and accordingly shall be governed by the laws of the Province of Manitoba and the laws of Canada as applicable to such contracts and agreements.
9. Agrees that any dispute that arises between him/her and Canadameds, its affiliates, related companies, subsidiaries, parent company, officers, directors, employees or agents shall be governed by the laws of the Province of Manitoba and the laws of Canada applicable to contracts formed in Manitoba and the undersigned agrees that the Courts of the Province of Manitoba shall have sole and exclusive jurisdiction over any such dispute.
10. Understands that Canadameds shall be entitled to substitute a prescription drug with a generic drug where available unless the physician has indicated that there be “no substitution”.
11. Acknowledges and understands that once purchased and shipped, no pharmaceutical product may be returned or exchanged.
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