Get Started – HCG Informed Consent
HCG is a prescription medication used by Meta-Health Weight Management, Inc. in its weight loss program.
With any drug there is the possibility of an allergic reaction or unusual reaction that may cause skin rash, difficulty breathing, collapse, or even death.
HCG is virtually free of negative side effects, but because you must follow a very low calorie, low fat diet that can sometimes trigger a gallbladder attack in individuals who are genetically pre-disposed to gallbladder disease.
Your medication will be discontinued if there is a severe adverse reaction.
I understand that the program and medications may involve risk. I have read and understand the information given to me about the medications. I have asked and had answered any questions that I may have after reading this form. I understand the possible side-effects and agree to advise Meta-Health Weight Management, Inc. should they occur. I understand that I may quit the program at any time. I agree to stop the HCG if I become pregnant and agree to advise Meta-Health Weight Management, Inc. should I decide to become pregnant. No adverse side effects or complications are expected, but in the event that an illness does occur, I understand that I need to contact Meta-Health Weight Management, Inc. If I experience an emergency situation, I understand that I need to go to an emergency facility. I authorize Meta-Health Weight Management, Inc. to use my photos for advertising purposes as needed.
I warrant to the Company that I am in good health and fully able to participate in the Program and that any questions concerning my ability to participate in the Program have been or will be discussed with my doctor before I participate. I acknowledge that I am responsible for my own health and I release the Company and it’s officers, employees and agents from any and all claims, liabilities or damages for personal injuries which I may suffer directly or indirectly resulting from my participation in the Program. I fully understand that employees of the Company are not health practitioners, and cannot be expected to diagnose or to treat individual health problems and that all such questions should be addressed by me to my own physician and I agree to do so.