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age verification document
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You can optionally attach medical files, diagnosis, pictures or make a snapshot that will be attached to your medical record and sent to the physician
file upload [.bmp|.gif|.jpg|.png|.jpeg|.pdf|.tiff|.xps|.oxps]
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fax transmission : 011 356 2778 1088
fax transmission : 011 356 2778 1088
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Health Care Professional Verification
You can optionally attach medical files, diagnosis, pictures or make a snapshot that will be attached to your medical record and sent to the physician
file upload [.bmp|.gif|.jpg|.png|.jpeg|.pdf|.tiff|.xps|.oxps]
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Upload
Webcam - Transmit your documents
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fax transmission : 011 356 2778 1088
fax transmission : 011 356 2778 1088
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Declaration
I declare without reservations:
I) as a citizen or permanent resident
a) that i am a patient, with a serious disease or condition and intend to access this website content for the purpose of finding a alternative treatment or therapy that is in my country of residence currently not available to me and
b) that i have verified that the laws applicable in my country of residence permit me access to medical and pharmaceutical information without particular limitation and
c) that the legal framework in my country permits me to import an unapproved medicine either by a personal importation scheme or access program.
Or
II) that i am foreign national (tourist, business visitor, student, diplomat) in the country from where I access this website from and the guest country permits me to import my required medicine from abroad.
Further country specific guidance
Australia https://www.tga.gov.au/personal-importation-scheme
New Zealand http://www.medsafe.govt.nz/consumers/miet/importmedicines.asp#sent
United Kingdom https://www.gov.uk/government/publications/supply-unlicensed-medicinal-products-specials
USA https://www.fda.gov/ForIndustry/ImportProgram/ImportBasics/ucm432661.htm
I have read and agreed to:
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I hereby declare that I am an employee, member or personnel of a health care provider, pharmaceutical trader or governmental institution and that I am permitted to access pharmaceutical or medical content websites without restriction.
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