hereby authorize the clinic’s staff on duty to act on my behalf to
accept medication delivery from the clinic’s dispensing physician and deliver my medications and refills to
me as prescribed by my physician.
I understand that delivery of such medications can be picked up at the clinic or mailed to my provided
address on a weekly basis (or as often as ordered by the physician). This authorization will remain active
for the course of my treatment at this clinic or until I revoke it in writing. If your state is not licensed by any of the compounding pharmacies, we are allowed to sign for the order and send it to the patient.
Any orders delivered damaged or incomplete must be reported to Gulf Coast HRT; referred
to as GCHRT within 24 hours of delivery and the pictures of damaged package/product must be sent
GCHRT is not financially responsible or liable for lost or stolen items once delivered. Once items have been
scanned as delivered to the customer's address, it is up to the customer to report any missing or stolen
packages to GCHRT within 24 hours of the delivery date.
Any packages returned for an INCOMPLETE/INCORRECT address can be shipped again at the patient's
No Guarantee of Services
We do not guarantee that any services or medications will be provided to you until you have undergone the full initial sign up process and physician’s examination. At the physician’s discretion only, you will
be provided medications and/or services during your program at GCHRT.
GCHRT requires you to have an annual consultation with our provider and annual lab work is done. Lab work
every 6 months is preferred but not required. Additional lab work can be requested by the provider at any
No Refund Policy
*GCHRT reserves the right to have NO RETURN and NO