<p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><span style="font-family: &quot;Apple Color Emoji&quot;;">☑️</span>&nbsp;I will read the Patient Information Leaflet provided with my medication before use.<o:p></o:p></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><span style="font-family: &quot;Apple Color Emoji&quot;;">☑️</span>&nbsp;I will contact ifeelshy and inform my GP immediately if I experience any side effects, start a new medication, or if my medical conditions change during treatment.<o:p></o:p></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><span style="font-family: &quot;Apple Color Emoji&quot;;">☑️</span>&nbsp;I understand that the treatment is for my personal use only and will not be shared with anyone else.<o:p></o:p></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><span style="font-family: &quot;Apple Color Emoji&quot;;">☑️</span>&nbsp;I confirm that I have answered all questions accurately and truthfully to the best of my knowledge.<o:p></o:p></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><span style="font-family: &quot;Apple Color Emoji&quot;;">☑️</span>&nbsp;I understand that the prescriber relies on my answers in good faith, and that providing incorrect or incomplete information could affect my health.<o:p></o:p></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><span style="font-family: &quot;Apple Color Emoji&quot;;">☑️</span>&nbsp;I understand that while treatment decisions are made jointly between myself and the prescriber, the final decision to issue a prescription rests with the prescriber.<o:p></o:p></p><p class="MsoNormal" style="margin: 0cm; font-size: medium; font-family: Calibri, sans-serif; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0);"><o:p>&nbsp;</o:p></p>