Optional Authorized Representative
This agreement is made on Enrollment date by and between enrollment Client and Pharma Dash. In consideration of the mutual agreement made herein, both parties agree as follows:
Work: Pharma Dash agrees to provide the pickup, transport, and delivery of prescribed medicine, medical products at the request of the client for fees agreed upon in advance and delivery of the Work by an agreed-upon deadline. The Client here by authorizes the requested pharmacy to release prescribed medication to Pharma Dash. Our service will offer the option to provide friendly reminders of prescription renewals .Pharma Dash will deliver the clients order to the listed address the same day pharmacy has filled the prescription.
Confidentiality: Your Name acknowledges that Pharma Dash may receive or have access to information which relates to the Client’s past, present, or future products, vendor lists, creative works, marketing strategies, pending projects/proposals, and other proprietary information. Pharma Dash agrees to protect the confidentiality of the Client’s proprietary information and all physical forms thereof, whether disclosed to Virtual Assistant before this Agreement is signed or afterward. Unless strict confidentiality is requested by Client in advance of the establishment of this contract, Pharma Dash can display materials and final work created for Client on Pharmadash.org.
MEMBERSHIP: Pharma Dash Membership fee is $10 per month or pay annually and a receive 20% discount and only pay $96. Membership requires a recurring charge to your payment card and automatically renews until canceled. Monthly/annual charges as appropriate will apply unless you cancel. No refunds for monthly or annual membership fees are provided for cancelation during the term of membership after the payment is processed. No refunds are provided for cancelation during the initial month of membership. Memberships cannot be canceled or refunded in pharmacy.
All non prescription item fees and taxes will apply and paid online through our site. Delivery fee of select nonprescription items are included with the purchase of membership. Deliveries from a pharmacy are available within a 10 mile radius of store. nonprescription items available may vary for online and in‐store orders. Nonprescription items are charged at online prices, which may vary from store prices. Coupons or in‐store promotions may not be used with delivery orders. Online promotions cannot be used nor can Rewards be earned with orders called into stores.
Client Approval: Upon compleation and verification of enrollment the client has agreed and approved the acceptance of the Work. Pharma Dash accepts responsibility for any further processes in which this work is used.
Cancellation: Both parties understand that Client Name or Pharma Dash may terminate the service at any time if, for any reason, the relationship is deemed unsatisfactory by either party.
Hours of service: Delivery for prescription drug orders are available for members upon completion and verification of enrollment and consent forms. Delivery cutoff times may vary by pharmacy location. Delivery is only available once orders have been filled and released by pharmacy. Delivery may be subject to delays. Not all delivery options are available to every address or from all pharmacy locations.
Vacation/Holidays: Email notifications will be sent to all current clients when Your Name will be unavailable during normal business hours due to personal vacation days and/or holidays.
Acceptance of Terms: Pharma Dash reserves the right to change the terms and conditions at anytime. The terms contain a dispute resolution provision below requiring use of arbitration on an individual basis to resolve disputes rather than jury trials or class actions. Membership automatically renews unless canceled. Memberships must be cancelled online. Must cancel at least three days before renewal date, membership will automatically renew and you authorize us without notice, except where required by law, to charge the payment method on file to collect applicable fee and taxes. Client must provide valid email and payment card for recurring payments to enroll. Minors must have parent/guardian permission to enroll. Membership is personal, nontransferable and non sellable and is limited to one individual per account. You must provide and maintain accurate and current information.
No refunds for membership fees after recurring charge is processed.
Client promises to pay for the services rendered by Pharma Dash for the Work as agreed upon. By signing below, Client agrees they have read, understood, and are considered legally bonded to these terms.
Our Notice of Privacy Practices provides information about how we may use and disclose protected health information about you. You have the right to review our Notice before signing this Consent. You have the right to request that we restrict how protected health information about you is used or disclosed for treatment, payment or health care operations. We are not required to agree to this restriction, but if we do, we shall honor that agreement.
By signing this form, you consent to our use and disclosure of protected health information about you for treatment, payment and health care operations.