Consent Form C

I understand this program is for educational purposes and many of the peptides and related compounds or hormones in this program are not authorized for human consumption. I understand Riverton Medical is not liable for usage of such peptides. Some peptides are meant for research purposes only and usage of such substances is not condoned by Riverton Medical or any of the providers or staff. Some peptides or similar hormones or compounds are allowed for human usage when provided by prescription and are FDA approved. However, some of these medications are provided in an off label formulation. As such the absorption may vary which may provoke additional side effects or significant adverse reactions. I understand the side effects or harmful effects of peptides or their related hormones are not completely understood and adverse reactions or death may occur.

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Date (YYYY-MM-DD)