Riverton Medical Disclaimer

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Riverton Medical Disclaimer

Name

I understand virtual visits do not substitute the need for in office visits, as in office visits provide a more thorough exam. I will not hold Riverton Medical PLLC liable for a provider’s lack of physical findings. I also recognize if any symptoms are present, I must notify the provider during the time of the virtual visit. I also agree to seek help from a primary health provider, or specialist with an in-office visit, visit the urgent care, or proceed to the Emergency Room. I understand Riverton Medical does not have an “on call” provider and if any concerns exist, I must contact the ER, urgent care, or other primary care provider or specialist. I also recognize some prescribed medications may be recommended “off label.” and I assume and accept the risks of using medications in this manner. I also understand I must contact my primary care provider and schedule an in-office visit if I am experiencing side effects or an adverse reactions from usage of prescribed medications. I agree I will be located in the state of Utah at time of visit. I agree I will not hold Riverton Medical PLLC liable for any such side effects or adverse reactions to medications. Riverton Medical DOES NOT COMPLETE PRIOR AUTHORIZATION FORMS NOR PRESCRIBE OPIOIDS, BENZODIAZEPINES, AS WELL AS MANY OTHER CONTROLLED SUBSTANCES AND MEDICATIONS. PLEASE INDICATE ANY MEDICATIONS REQUESTED FOR REFILL WHEN SCHEDULING A VISIT FOR THE PROVIDER TO REVIEW PRIOR TO THE VISIT, AS SOME PRESCRIPTIONS MAY NOT BE AUTHORIZED. I also understand Riverton Medical LLC provides focused or limited primary care and performance medicine and I must have a permanent primary care provider for evaluation and treatment of all medical and health conditions. By typing your name below, you accept the above conditions.
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Date (YYYY-MM-DD)