By submitting this form, you, the user ("Patient"), agree to these Terms & Conditions. MyFitLifeRx ("Company") will use the information provided in this form in accordance with the terms outlined below.
The data you provide in this form will be used solely for the purpose of contacting you in relation to your medical needs and to assess your eligibility for prescribed medications. Your information will not be shared, sold, or distributed to any third parties outside of what is necessary to provide the service you requested.
MyFitLifeRx is committed to protecting your personal and health information. We adhere to the guidelines set forth by the Health Insurance Portability and Accountability Act (HIPAA) to ensure that your data is stored and processed securely. All medical information provided through our form is handled with the highest standard of confidentiality and care.
The information submitted through this form will be used to assess whether you are eligible for the medications and services provided by MyFitLifeRx. Completing the form does not guarantee that medication will be prescribed. A thorough medical review by a licensed healthcare provider will determine your eligibility.
By submitting this form, you consent to be contacted by MyFitLifeRx via phone, email, or other communication channels in order to discuss your medical needs, assess your eligibility for medications, and provide you with information about our services.
We take the protection of your data seriously. Your information will be securely stored and only accessible to authorized personnel within MyFitLifeRx. We do not sell, share, or disclose your personal information to any third party, except as required by law or with your express consent.
MyFitLifeRx reserves the right to update or modify these Terms & Conditions at any time. Any changes will be posted on our website, and continued use of our services implies acceptance of the updated terms.
If you have any questions or concerns regarding these Terms & Conditions, please contact us at: