In-Office Price $379

Online Price

$329

In-Office Price $479

Online Price

$429

I acknowledge that I have answered truthfully and accurately, to the best of my knowledge, all questions on the Patient Medical History Form [here in PMHF] provided by NBM, and I accept full liability for any consequences that may arise because of any inaccuracies I may have made. I further acknowledge that I have reviewed, approved and have no issue with any of the NBM’s documents listed below and following for ordering HCG or HCG Related Products. These documents have been made available for me to copy for my personal records:

• Terms and Conditions Agreement for Acquiring of HCG and Related Products from FL
• FL Weight-Loss Consumer Bill of Rights #501.0575
• Patient Consent and Authorization Agreement
• “Off -Label” Use of HCG
• FDA Statement on HCG
• Patient Privacy Policy
• Receive a Tax Deduction for Weight Loss Programs

Terms & Conditions Agreement for Acquiring HCG and/or HCG Related Products from FL

As a potential Client [together referred to as “I” or “You” or “Your” or “Customer” or “Applicant” or “Patient”] wishing to acquire a service or product through this New Beginnings Medical, LLC and/or TeleHCG, LLC [together referred to as “NBM” or “TeleHCG”] website [together referred to as “Site” or “Sites”], should carefully review the following Terms and Conditions [herein after “T&C”]. You understand by utilizing this Site to acquire a product or service from NBM You acknowledge and agree to its T&C. During the process of acquiring a service or product through this Site, You will have the opportunity to establish a specific personal password for accessing Your information. It is Your responsibility to keep that password confidential. You agree that if there is a breach in Your password security You will notify NBM. Thereafter You agree that NBM will have right to change the password.

NBM is solely for informational purposes relating to the use and acquisition of HCG [Human Chorionic Gonadotrophin] and/or HCG Related Products [herein after HCG] for weight loss purposes only. The information on the sites do not constitute an offer to buy or sell HCG. You understand NBM is acting strictly as a facilitator for You to acquire HCG. You further understand that an offer to acquire HCG through the efforts of NBM does not exist until You have been approved by NBM’s Medical Practitioner or NBM’s Independent Medical Contractor or NBM’s Independent Medical Director [herein together referred to as “Medical Personnel”]. You understand that to acquire HCG in the State of Florida, You must meet certain medical requirements and NBM acts only as a facilitator to acquire the non-controlled human hormone HCG. NBM and/or TeleHCG are NOT an Internet Pharmacy or acting like an Internet Pharmacy when offering HCG. You understand that Medical Personnel’s approval for the acquisition of HCG is based on the completion of NBM’s specific processing procedures. These procedures include the successful completion and submission of a Patient Medical History Form [herein after PMHF]. You authorize Medical Personnel to provide medical management and administrative services of Your medical file and referral services. You also acknowledge that the NBM Medical Personnel is NOT a replacement for Your Primary Care Physician [herein after PCP] and You agree to notify Your PCP that You are undergoing an HCG diet or obtaining an HCG related product. You authorize NBM’s Medical Personnel to obtain, on their behalf, a medically approved prescription for HCG from a Florida U.S. Pharmacy to dispense such prescription items directly to the name and address of the Patient. You further understand that prior to placement of the Patient’s Prescription for requested HCG or HCG Products, You will be charged for the requested items. The cost of the HCG will be paid, in part, to the Florida U.S. Pharmacy, the Medical Personnel and management services.

A PMHF is sent to each individual seeking assistance to obtain HCG through the Site. When You receive the PMHF it is to be honestly completed and returned to the NBM’s Medical Personnel. The PMHF is reviewed by the Medical Personnel for completeness and accuracy. Any incomplete, un-truthful or inaccurate information may be cause for a delay, disqualification or rejection of Your request to obtain a prescription for HCG or related HCG products. You acknowledge to have been previously diagnosed with an overweight condition and are seeking NBM’s assistance in obtaining a prescription for HCG to control that weight issue. You understand and acknowledges that the Medical Personnel are medically licensed in the State of Florida and may not be licensed in Your State or Country and the prescriptions are issued in the State of Florida by a Licensed Florida Pharmacy. The State of Florida requires a “hands-on” physical exam be conducted prior to the issuing a prescription. You acknowledge that You are under the care of a PCP who is medically licensed to practice medicine. You agree that NBM’s Medical Personnel will not contradict or alter the advice given to You by Your PCP. You agree that You have or will obtain a physical exam by their PCP prior to using HCG and will inform the PCP that You are participating in an HCG Diet or have acquired HCG Related Products. You understand that, in Florida, a physical exam is required annually to continue using HCG.

I understand that prior to the issuance of an HCG prescription, the returned PMHF must meet the medical requirements of the Medical Personnel and thereafter I will participate in a one-on-one internet audio-visual Medical Consultation [herein after “Consultation”] with the Medical Personnel. The Consultation will consist of a discussion of the Your physical condition as it relates to taking HCG; also the benefits and risks of HCG and the Patient’s goals for taking HCG. The Consultation is not, in anyway, to be construed as a replacement for any medical role of the Patient’s PCP. If the Medical Personnel determines that the Patient is not appropriate for HCG, the relationship between the Patient, NBM and the Medical Personnel will be immediately terminated and any charges will be refunded. Patient understands that if the Medical Personnel approves the Patient for HCG, a Prescription will be placed through a Florida Licensed U.S. Pharmacy [herein after “Pharmacy”]. The Pharmacy will arrange for delivery of the requested HCG and/or HCG related products to the Patient in their name at Patient’s address. Patient agrees that prior to placement of the Patient’s Prescription for requested HCG, the Patient will be charged for the HCG and/or HCG related products requested.

You understand and acknowledge that NBM does not directly control or influence the medical treatment or decisions made by the Medical Personnel. You further understand that NBM is a Florida corporation and You are authorizing NBM to arrange for the prescribed pharmaceuticals to be dispensed and sent by a Florida Pharmacy to the state of the address on the PMHF. You acknowledge that the Medical Personnel’s Consultation, diagnoses, and treatments will be deemed to have occurred in the state of Florida where NBM’s Medical Personnel is licensed to practice medicine. You acknowledge that NBM’s Medical Personnel may not be licensed to practice medicine in Your State or Country of residence.

You agree to comply with the medical directions and dosage that are supplied with the HCG prescription prescribed by NBM’s Medical Personnel and further agree that if any adverse situation occurs while taking the HCG, Patient will immediately cease taking the HCG and send a written notification to NBM at Email Support@newbeginningsmedical.com stating any adverse condition and/or side effects that You are experiencing along with contact information. You agree and acknowledge that NBM is not liable for any negligent act or omission by NBM’s Medical Personnel. You acknowledge that the medical treatment offered by NBM’s Medical Personnel is not accompanied by any claims, guarantees, promises or warranties. You understand that any HCG acquired with the assistance of NBM requires medical prescriptions and such prescription pharmaceuticals are NOT returnable or refundable, under any circumstances, under both Federal and State laws. It is unlawful for a pharmacy to accept the return of any prescription medication once it has left the direct care and control of the pharmacy. The Patient understands that under Florida law, physicians are generally required to carry medical malpractice insurance or otherwise demonstrate financial responsibility to cover potential claims for medical malpractice. This is permitted under Florida law subject to certain conditions. Florida law imposes penalties against non-insured physicians who fail to satisfy adverse judgments arising from claims of medical malpractice. This notice is provided pursuant to Florida law. The Patient acknowledges and agrees that NBM is not responsible for the negligent or intentional acts or omissions of the Medical Personnel or supplier that Patient is referred and for any action or inaction taken by the Patient. The Patient understands that the total liability of NBM its officers, directors, employees, stockholders, assigns, agents, successors, affiliates is limited to the purchase price of any products through NBM’s Medical Personnel or pharmacy. The Patient further acknowledges that NBM’s officers, directors, employees, stockholders, assigns, agents, successors, affiliates and Medical Personnel will not be liable for any direct, indirect, special, incidental, consequential, or punitive damages.

The Patient acknowledges that during the relationship with NBM’s officers, directors, employees, stockholders, assigns, agents, successors, affiliates and NBM’s Medical Personnel, Patient may receive a range of proprietary business information, including confidential disclosures, trade secrets, business practices, NBM customer list, suppliers and the like which are considered Proprietary. The Patient further acknowledges that such Proprietary Information is considered a valuable asset to NBM’s stability and financial wellbeing and Patient agrees not to disclose, divulge, covey or communicate, in any fashion, form, or manner, either directly or directly, any Proprietary information or take any action that may result in disclosure of such Proprietary information to any third party person, or company. The Patient understands that disseminating NBM’s Proprietary information will cause irreparable harm to NBM and as such, NBM shall be entitled to seek injunctive relief to curtail the patient from disclosing or dispersing any Proprietary information and seek liquidated damages. The Patient agrees that the amount of NBM’s damages under such conditions will be difficult to precisely ascertain, therefore Patient agrees that any liquidated damages are not considered a penalty.

The Patient agrees to release NBM’s officers, directors, employees, stockholders, assigns, agents, successors, affiliates and NBM’s Medical Personnel from any liability associated with Patient’s Medical Consultation with NBM’s Medical Personnel. This Agreement shall be governed according to the laws of the State of Florida, applicable to agreements made and to be made and to be performed within the State of Florida, without regard to principles of conflict of laws. Any disputes arising out of or with respect to this Agreement shall be adjudicated in a court of competent jurisdiction sitting in the county of Palm Beach, Florida. The Patient hereby irrevocably submits to the jurisdiction of such court for the purposes of any suit, civil action or other proceeding arising in connection with this Agreement. In the event of any litigation arising out of this Agreement, the prevailing party shall be entitled to recover all expenses, costs incurred, including reasonable attorneys’ fees. If any provision of this Agreement or it’s application is invalid or unenforceable in any jurisdiction, the remainder thereof, and the application of such provision in any other jurisdiction, shall not be effective, and the provisions of this Agreement shall be severable. The Patient agrees to indemnify, defend, protect, and hold harmless NBM’s officers, directors, employees, stockholders, assigns, agents, successors, affiliates and it’s Medical Personnel and their respective parties from, against and in respect of all liabilities, losses, claims, damages, punitive damages, causes of action, lawsuits, administrative proceedings, investigation, demands, judgements, settlement payments; deficiencies, penalties, fines, interest and costs and expenses suffered, sustained, incurred in connection with, resulting from, or arising out of, directly or indirectly, from NBM’s Medical Personnel or harm or injury resulting from medical care or pharmaceuticals provided directly or indirectly by NBM’s Medical Personnel.

The Patient understands and is advised that payment is due in full for any HCG or HCG Diet Products prior to the issuance of a prescription. Patient is advised that there is no guarantee or warrant of the results of any HCG Product or Service due primarily to the off-site personal administration of the Products. If this account is referred to a collection agency or attorney for non-payment of Services or Products, the Patient will be totally responsible for any fees associated with the collection costs, court costs or attorney fees.

Notice: NBM reserves the right, in its sole discretion, to change the T&C under which it offers its Services or Products. The most current version of the Terms and Conditions will supersede all previous versions of the T&C. NBM encourages Patients and users to periodically review the T&C to say informed of any changes or updates. Any and all representations or agreements by any agent or representative of either party not contained in this Agreement shall be null, void, and of no effect.

Florida Weight-Loss Consumer Bill of Rights: #501.0575

The Weight-Loss Consumer Bill of Rights shall consist of the following provisions:

Patient Consent and Authorization Agreement

New Beginnings Medical, LLC. and TeleHCG, LLC [herein after “NBM”] are Florida corporations and operate under Federal and Florida laws. When a patient desires an HCG and/or a HCG Related Product [herein after “HCG”], the Patient is first sent a Patient Medical History Form [herein after “PMHF”] to complete. The NewBeginningsMedical.com website and the TeleHCG.com website [herein after “Site” or “Sites”]. The completed PMHF information is submitted to NBM’s Medical Practitioner, Independent Medical Contractor and Independent Medical Director [herein after “Medical Personnel”]. Thereafter, if approved, the Patient is contacted through the website to participate in Medical Personnel Internet audio-visual Medical Consultation [herein after “Consultation”] to review the Patient’s medical history, discuss the HCG Diet or HCG Related Products and ascertain the eligibility of the Patient to receive the HCG desired. If the Medical Personnel determines that the Patient is eligible to obtain the desired HCG, a Prescription is forwarded to a Florida U.S. Pharmacy to fill and send the Products to the Patient’s name and address. Patient understands that prior to the placement of the Patient’s Prescription for the requested HCG, the Patient will be charged for the HCG requested. The cost of the HCG will be paid, in part, to the Florida U.S. Pharmacy, the Medical Personnel and management services. If the Patient is not approved by the Medical Personnel, the HCG charge will be returned.

Once the Pharmacy has processed the Prescription and the products have been shipped, the Product is NOT returnable or refundable under any circumstances according to both Federal and/or State laws. It is unlawful for a pharmacy to accept the return of a Prescription Medication once it is no longer under their control. Nothing stated herein to the contrary and contained on the Sites shall constitute an offer by NBM to sell HCG to a Patient. Also, no Agreement to sell HCG shall be formed until Patient has completed the State of Florida’s requirements for obtaining a Prescription. The cost of the HCG will be paid, in part, to the Florida U.S. Pharmacy, the Medical Personnel and management services.

The Terms and Conditions for Acquiring HCG and HCG Related Products [herein after “T&C”] which are applicable to the laws of the state of Florida. Further, in consideration of NBM providing Patient with the medical management for acquisition of HCG, plus any referral, or management services needed to acquire such products, Patient agrees and acknowledges the following in this Patient Consent and Authorization. The Patient acknowledges that to have submitted an accurate and complete PMHF to NBM’s Medical Personnel. Patient acknowledges to have completed the PMHF truthfully, accurately and completely. The Patient acknowledges that failure to provide truthful, accurate and complete information, could result in an inappropriate treatment, for which the Patient will hold harmless NBM’s officers, directors, employees, stockholders, assigns, agents, successors, affiliates, the Medical Personnel. If the Patient is approved by the Medical Personnel to acquire HCG, Patient authorizes the Medical Personnel to authorize a prescription to a Florida U.S. Pharmacy to provide the HCG prescribed pharmaceuticals based on Patient’s PMHF and the Medical Personnel’s diagnosis. The Patient acknowledges and agrees that NBM officers, directors, employees, stockholders, assigns, agents, successors, affiliates are not licensed physicians and do not practice medicine. NBM is a medical management, administrative, and referral service and does not direct, control, or influence the treatment decisions made by NBM’s Medical Personnel.

The Patient further understands and agrees that NBM’s Medical Practitioner and/or Independent Medical Contractor are rendering only the medical care, services, and treatment for the prescribed HCG pharmaceuticals to be dispensed and sent to Patient, in Patient’s name and to their address, by a Florida pharmacy. The Patient agrees to comply with the method of instructions, treatment and dosage schedules prescribed by NBM’s Medical Practitioner and/or Independent Medical Contractor and to immediately cease using the HCG prescribed by the NBM Medical Practitioner and/or Independent Medical Contractor in the event of any adverse reaction or side-effect arising from the prescribed treatment, and to immediately provide the NBM Medical Practitioner and/or Independent Medical Contractor written notice via email support@newbeginningsmedical.com of any such adverse reaction or side effect. The Patient further acknowledges and agrees that the NBM Medical Practitioner and/or Independent Medical Contractor or Medical Director are not liable for any negligent act or omission. The Patient acknowledges that diagnosis and treatment may involve risk of injury, and that NBM officers, directors, employees, stockholders, assigns, agents, successors, affiliates and the Medical Practitioner and/or the Independent Medical Contractor or Medical Director have made no guarantees or warranties and the methods of medical treatment offered and provided are not accompanied by any claims, guarantees, promises or warranties. The Patient further understands and agrees that certain products purchased through the assistance of NBM require a medical prescription and as such are not returnable or refundable to NBM or to the dispensing Pharmacy under any circumstances under both Federal and State laws.

The Patient acknowledges that under Florida law, physicians are generally required to carry medical malpractice insurance or otherwise demonstrate financial responsibility to cover potential claims for medical malpractice. The Medical Practitioner and/or Medical Contractor and/or the Medical Director may or may not decide to carry medical malpractice insurance. This is permitted under Florida law subject to certain conditions. Florida law imposes penalties against non-insured physicians who fail to satisfy adverse judgments arising from claims of medical malpractice. This notice is provided pursuant to Florida law. During Patient’s relationship with NBM’s officers, directors, employees, stockholders, assigns, agents, successors, affiliates and the Medical Practitioner and/or the Independent Medical Contractor and/or Medical Director a range of Proprietary business information, including confidential disclosures, trade secrets, business practices, NBM’s customer list, suppliers and the like are considered Proprietary. The Patient acknowledges that such Proprietary Information is considered valuable asset to NBM’s financial stability and wellbeing and the Patient agrees not to disclose, divulge, covey or communicate, in any fashion, form, or manner, either directly or directly, any Proprietary information or take any action that may result in disclosure of such Proprietary information to any third party person, or company. The Patient understands that disseminating NBM’s Proprietary information will cause irreparable harm to NBM and NBM shall be entitled to seek injunctive relief to curtail the Patient from disclosing or dispersing any Proprietary information and seek liquidated damages. The Patient agrees that the amount of NBM’s damages under such conditions will be difficult to accurately ascertain, and therefore the Patient agrees that any liquidated damages are not considered a penalty.

This Agreement shall be governed, construed and enforced in accordance with the laws of the State of Florida, applicable to agreements made and to be made and to be performed entirely within Florida, without regard to principles of conflict of laws. Any disputes arising out of, in connection with or with respect to this Agreement, shall be adjudicated in a court of competent jurisdiction sitting in the Palm Beach County, Florida and nowhere else. The Patient hereby irrevocably submits to the jurisdiction of such court for the purposes of any suit, civil action or other proceeding arising out of, in connection with or with respect to this Agreement. In the event of any litigation arising out of this Agreement, the prevailing party shall be entitled to recover all expenses and costs incurred, including reasonable attorneys’ fees and legal assistants’ fees. If any provision of this Agreement or it’s application is invalid or unenforceable in any jurisdiction, the remainder thereof, and the application of such provision in any other lawsuits, administrative proceedings, investigation, demands, judgements, settlement payments, deficiencies, penalties, fines, interest and costs and expenses suffered, sustained, incurred in connection with, resulting from, or arising out of, directly or indirectly, NBM’s Medical Practitioner and/or, Independent Medical Contractor and Medical Director use or injury resulting from medical care or pharmaceuticals provided directly or indirectly by NBM’s Medical Practitioner, Independent Medical Contractor or Medical Director.

“Off-Label” Use of HCG

I understand that HCG [Human Chorionic Gonadotropin] has not been approved by the FDA for weight loss and is considered “off-label” by the FDA. I further understand that this pharmaceutical is FDA approved for other medical treatments, including female fertility. The term “Off-Label” is used when a licensed physician uses an FDA approved the drug for purposes other than those for which the FDA has specifically approve them. “Off-Label prescribing for HCG is a legal and common practice by licensed physicians in the U.S.

FDA Statement on HCG

HCG has not been demonstrated to be an effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or “normal” distribution of fat or that it decreases the hunger and discomfort associated with calorie-restricted diets.

Patient Privacy Policy

This Patient Privacy Policy Document Update [herein “PPPD”] refers to only data collected through the New Beginnings Medical, LLC TeleMedicine website [herein “NBM”] and is in addition to the Patient Privacy Policy contained herein. Nothing contained in this PPPD to the contrary is intended to usurp or interfere with a Patient’s Primary Care Physician’s [PCP] medical practice in the care of the Patient. Also, Patient specifically understands that NBM does not operate as on On-Line Pharmacy. This includes, but is not limited to, a Patient’s Annual Physical Exam [PAPE] or interim medical exams. NBM from time to time updates this PPPD to comply with the then current Federal Health Insurance Portability and Accountability Act [here in HIPAA Policy “]. The purpose of this PPPD is to update how a Patient’s medical and personal information is stored, protected and utilized. A Patient should be aware that this PPPD does not contain or pertain to all categories of a person’s medical history. Additional medical information could be subject to additional protections under a particular state or federal law.

A Patient’s Personal Data: NBM utilizes Patient information to properly treat Patients and the operate the NBM business. When a Patient desires to acquire a product through the NBM Internet Web-Site, certain personal information is required to obtain that product. This information includes a Patient’s Name, Address, Telephone, E-Mail Address, Prior and Current Medical Information. This information may be obtained through various means of communication such as: Web-Site Written Medical Information Forms; Information obtained through a Medical Audio-Visual Communication, Pharmacy documentation for obtaining a Prescription Product; NBM Employee Communication with Patient; E-Mail or Texts. Patient information may also be gathered through various HIPAA compliant sources. For Example: NBM Tele-Medicine Web-Site, Web-Site Medical Application and Forms, NBM Affiliates, NBM employees or Independent Medical Practitioners, Web-Site Browser Cookies, and NBM Web-Site Page Roaming.

Age Limitation: Any minor under the age of eighteen [18] may not utilize the services of NBM. This restriction applies even with a parent or guardian’s approval.

Sharing Patient Medical Information: All Patient’s Medical Health Information is protected on a Secure HIPAA compliant Servers. This information may be shared with a Licensed U.S. Pharmacy if any Prescription Product is desired, with the NBM Medical staff or Independent Medical Practitioners or Medical Director. NBM does not bill, process claims or share information with insurance companies. NBM does not disclose any of a Patient’s medical information. That includes transferring, trading or selling information to any outside individual or business other than those mention above without a Patient’s consent. Not withstanding anything herein to the contrary, any non-medical or non-personal information may be utilized for marketing or advertising purposes.

Sharing Information with Governmental Agencies: NBM will cooperate with the Florida State Medical Board, the Florida Department of Health and Services and Federal laws to determine if NBM is complying with HIPAA’s requirement for protecting a Patient’s records.

Sharing Information Under Legal Direction: NBM may be required to share Patient Information if required to do so because of a Legal Action that is required by a Court Order Subpoena.

NBM’s Use of Computer Cookies: A “Cookie” is a small text file created by a website that is stored in the User’s computer either temporarily for that session only or for future sessions. Cookies provide a way for a website to recognize the User and to keep track of their preferences. Cookies can be beneficial to the website User, for example, if a User places items in a “Shopping Cart”, then switches to another page on the website or even another site, and later they come back, the website recognizes the User and the current status of their Shopping Cart. Also, if your User ID and Password, for a particular website, is stored in a Cookie, it saves the User from typing in the same information all over again when accessing the website the next time.

Sale and Site Opportunities: From time to time, NBM may have special product offers, product sales or general information for correcting, deleting or updating the site [“here in Site Information”] that is available to specific NBM website Patients. This Information may be transmitted by electronic means, such as E-mail, Text, Telephone or U.S. mail. If, at anytime, a Patient desires not to receive such Information, the process will be terminated.

Patient’s Information: As a Patient of NBM, you have a right to any of your personal information. This information may be obtained through the NBM Corporate Office.

Patient’s Consent: When a Patient utilizes the New Beginnings Medical, LLC TeleMedicine website, they are consenting to this Security and Privacy Document.

Other Documents: Patient should review these additional documents on the New Beginnings Medical, LLC TeleMedicine LLC site: Terms and Conditions Agreement for Acquiring of HCG and Related Products from FL; FL Weight-Loss Consumer Bill of Rights #501.0575; Patient Consent and Authorization Agreement; Off-Label Use of HCG; FDA Statement on HCG and Privacy Policy;

Receive a Tax Deduction for Weight Loss Programs

Internal Revenue Service [herein after IRS], as outlined in Topic #502 “Medical and Dental Expenses, that the IRS has granted an Income Tax deduction for certain Medical Expenses. Included are “Payments to participate in a weight-loss program for a specific disease or diseases, including obesity, diagnosed by a physician”. Obesity is a medical classification when a patient’s weight and height reach #30 or over on the BMI scale. When you measure and weigh yourself for the New Beginnings Medical HCG Tele-Medicine Program, you can reference and can calculate your BMI rating by consulting the New Beginnings Medical Tele-Medicine website. If your reading is #30 or over on the BMI Scale, the amount you pay for the NBM Diet Program may be deductible on your Tax Return. Note: Your accountant or tax adviser can verify that this IRS #502 Tax Deduction is still in effect before making any Deduction.

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