Consent to treatment

By requesting care through ALT TheoryRx, I consent to an evaluation by a licensed provider from Wasef Health, PC using the information I submit. I understand that the provider decides whether treatment is appropriate and may decline to prescribe, ask for more information, or recommend in-person care. I understand that any medication prescribed may have side effects, that results vary and are not guaranteed, and that I should read the Important safety information and the pharmacy label. I agree to follow my provider's instructions, to report side effects or changes in my health, and to tell my provider before stopping a medication. I can withdraw this consent at any time by contacting support@alttheoryrx.com, except for care already provided.