I hereby authorize Hawthorne Pharmacy to ship my medications without anyone being present to obtain signature for delivery. I understand in doing so that I am accepting all liability for any loss or damage to my prescription once it has been delivered. I also understand that in signing this release that I am foregoing my right to hold Hawthorne Pharmacy Responsible for any of my protected health information that is disclosed once the delivery has been made. This authorization and release will remain in effect as long as deliveries are being made on my behalf or until I notify Hawthorne Pharmacy in writing.