Patient Consent & Acknowledgement

Valour Health outlines important information regarding how we support your care and treatment, including your responsibilities, treatment conditions, and consent to care that may involve unapproved therapeutic goods in accordance with TGA requirements. Please review this information carefully before providing consent.

1. I, the undersigned, declare that I do not have any of the following medical conditions:
   1. Pregnancy or breastfeeding;
   2. Hypersensitivity to cannabinoids or any type of excipients;
   3. Substance disorder/addiction;
   4. Drug dependency, whether registered or otherwise;
   5. Known or suspected personal history of schizophrenia, psychotic illness, or personality disorders; or
   6. Known or suspected severe or unstable cardiac, pulmonary, liver, or renal (kidney) disease.
2. I acknowledge that my doctor may have an interest in medical cannabis and/or hemp companies, and that Valour Health Clinic or its related bodies corporate may also have such interests. Further, I acknowledge that my prescriptions, treatments, or recommendations may benefit Valour Health Clinic or its related bodies corporate and/or my doctor.
3. I, the undersigned, confirm and declare that:
   1. I have read, understood, and agree with the information provided in the Terms and Conditions statement.
   2. All details provided to Valour Health are true and correct to the best of my knowledge and belief.
   3. I will keep a log of my doses of prescribed medication and follow the instructions and recommendations of my doctor and the dispensing pharmacist regarding dosage and administration.
   4. I consent to my prescribed medication being sent to partner pharmacies for dispensing, unless I advise otherwise.
   5. I will notify my doctor of all concurrent medications and supplements, as well as any changes in them.
   6. I will have regular reviews regarding my treatment with my doctor as instructed or as required.
   7. I understand that my prescribed medication may not be suitable or helpful for my medical condition, and I will report to my practitioner if it does not work or if I experience any adverse reactions.
   8. I agree to inform all other treating doctors, including general practitioners, specialists, and allied health professionals, that I have commenced treatment with Valour Health Clinic, and will provide them with my doctor’s contact details to facilitate coordinated care.
   9. I understand and accept the potential risks, including those unknown, associated with my prescribed medication.
   10. I acknowledge that it is my responsibility to comply with all laws, employment contracts, and safety guidelines regarding my prescribed medication.
   11. I will not be disrespectful, threatening, or disruptive towards any staff members or doctors.
   12. I understand that paying for the cost of any prescribed medication will be solely my responsibility.
   13. I understand that zero-tolerance laws may apply to driving or operating heavy machinery with detectable THC in my body, and that a legally issued prescription may not provide a defence against such an offence.