START YOUR NEW LIFE!

CURRENTLY ACCEPTING FLORIDA AND TEXAS RESIDENTS ONLY

Intake
    Patient Authorization for Delivery of Medications

    hereby acknowledge that any orders delivered damaged or incomplete must be reported to Swole Alternative Medicine; referred to as SAM within 24 hours of delivery and the pictures of damaged package / product must be sent to INFO@flalternativemeds.com. SAM is not financially responsible or liable for lost or stolen items once delivered. Once items have been scanned as delivered to the customer's address, it is up to the customer to report any missing or stolen packages to SAM within 24 hours of delivery date. It is up to the customer to have the FedEx Mobile App to receive step by step updates during the shipping process. Any packages returned for an INCOMPLETE/ INCORRECT address can be shipped again at the patient's expense.

    No Guarantee of Services

    SAM does not guarantee that any services or medications will be provided to you. Any recommended services or treatments as well as any prescriptions for medications shall be provided only after you have undergone the full initial sign-up process and examination by a licensed health care practitioner.

    At the licensed health care practitioner’s discretion only, you will be prescribed medications and/or provided services during your program at Swole Alternative Medicine.

    You’re required to have an annual consultation and lab work done through SAM. Lab work every 6 months is preferred but not required. Additional lab work can be requested by the provider at any time. You, as the patient, take full financial responsibility for your lab order should you decide to use your personal health insurance instead of utilizing the office cash-pay program. SAM is not liable for any future bills you may incur for said lab work if you decide to use your personal health insurance to do said labs

    No Refund Policy

    *Swole Alternative Medicine LLC has a NO RETURN and NO REFUND policy on medications and supplies.

    By signing below, I understand all company policies as outlined above and agree to abide by them to their fullest extent:

    BY FILLING OUT THIS FORM YOU SHOW THAT YOU CARE AND CAN MAKE A CHANGE IN YOUR LIFE!