I hereby release www.onlinepills.com and all of their employees and contractors including physicians from all liability associated with my Propecia® consultation and/or the use of Propecia®.  I understand that no physician, nurse or administrative personnel can guarantee that Propecia®, even if prescribed, will provide the results I seek. I hereby agree to answer truthfully all of the medical questions during my consultation.  I also understand that if I fail in anyway to furnish www.onlinepills.com with my complete and accurate medical history or become aware of any changes in the future which I have not notified www.onlinepills.com of then I cannot hold them responsible for any adverse effects I may suffer.

I am fully aware that it is my responsibility to have an annual physical exam, including any suggested laboratory test, to ensure that I have no disease, which might make Propecia® inappropriate for me.  I also understand that this consultation is not a substitute for my need to visit a local physician for my annual exam. I further agree to consult with my local physician and/or pharmacist to warrant that I am not taking any medication on the published list that would contraindicate the use of Propecia®. I further agree to notify all physicians, whose present care I am currently under or any physician who I will engage in the future, of my decision to use Propecia® so they may advise to continue or discontinue the use of medication.

I understand that the side effects of Propecia®, which generally effect less than two percent of the population include but are not limited to; a decrease in libido, erectile dysfunction and a decrease in the ejaculate fluid (not related to sperm count). These side effects are reversible and will generally cease upon the discontinuation of the medication. Furthermore, I understand that Propecia® is for the treatment of male pattern hair loss in men only. Women who are or may potentially be pregnant must not use Propecia® and should not handle crushed or broken tablets of Propecia®. The ingredients in Propecia® may cause potential risk to the development of the male sex organs in the developing fetus. Propecia® tablets are coated and will prevent contact with the active ingredients during normal handling. For more information regarding Propecia® please contact Merck & Co @ www.propecia.com. I understand a qualified and licensed physician, who may or may not be licensed to practice medicine in my state, will evaluate the information I am providing.