I understand that Charity’s Essentials provides access to medical weight loss programs that are prescribed and managed by a licensed medical provider.

I acknowledge that Charity’s Essentials is not acting as a medical provider and does not prescribe medications.

I understand that all medical evaluations, prescriptions, and treatment decisions are made by a licensed physician.

I agree to provide accurate health information and understand that results may vary.

By submitting this form, I acknowledge that I have read and agree to the above.

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