Consent for Treatment I consent to receive medical evaluation and treatment from Hamilton Health & Wellness, including telehealth services. I understand that treatment may include, but is not limited to, diagnosis, prescription, and ongoing management of my condition. I authorize communication via text message and email to facilitate my care, acknowledging that while reasonable safeguards are in place, these methods may carry inherent privacy risks. I confirm that I have reviewed and accepted the Terms of Use, Privacy Policy, HIPAA Notice of Privacy Practices, and Patient Consent, all accessible at https://hamiltontelehealth.com/terms-of-service/.
By signing below, I confirm that: I have read and understood the information above. I voluntarily consent to the treatment and services provided. I understand that my electronic signature is legally binding and equivalent to a handwritten signature. I affirm that all personal and medical information I have provided is accurate and complete to the best of my knowledge.
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Refill Questionairre

Hi there! Looks like you are ready for a refill. To make sure we are treating you safely, please answer the following questions. Answering ALL of the questions will help us facilitate your refill faster than an incomplete check-in.
Consider the next dose if you have not lost weight, have been hungry before day 7 and tolerated your current dose without side effects. Again, decide based on your appetite suppression, and stay on the lowest effective dose as long as possible. More is not always necessarily better in this case. If requesting a retail medication please indicate the name and address of your pharmacy below