Patient is aware of the nature and risk of alternative methods of treatment, and the possible consequences and/or complications involved in such hormone replacement treatment ("HRT"). Patient acknowledges, understands and agrees that the hormone blood level objective sought as a result of Patient’s hormone replacement therapy, as prescribed by Physician(s), may be at the highest level of a standard reference range for Patient’s age and sex, or, in some cases, above such range, to the level of a younger person, and that such range is experimental and may not render any benefits, but may result in unknown, adverse results.

Patient acknowledges, understands and agrees that recombinant human growth hormone replacement therapy involves the use of medical drugs approved for a purpose, which may not necessarily be the purpose for which it is being prescribed to you. Instead, these medical drugs are being used for new and different purposes in an effort to obtain a desired objective of medical treatment. Nonetheless, Patient consents to such care and treatment and executes this Agreement with a complete, informed understanding of such hormone replacement therapy for the purpose of authorizing Physician(s) to administer such treatment to relieve body ailments and attempt to improve Patient’s physical condition and health.

Patient further acknowledges, understands and agrees that the methods of therapy management offered by Company and medical treatment offered by Physician(s) are not accompanied by any guarantees, promises and/or warranties.

Patient has read, understands and agrees to all terms and conditions disclosed herein, including, but not limited to, the waiver, indemnification and disclaimer clauses for any liability(ies) arising out of the Services provided by Company and Physician(s).