Medication informed consent

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Effective Date: August 13, 2025
Last Updated: August 13, 2025

This policy provides important information for patients receiving prescription medications from Radiant Care Pharmacy, whether for weight management, hormone therapy, wellness support, or other clinically appropriate purposes. It includes your rights under Florida law, details about the medications that may be prescribed, and your responsibilities when participating in any medication therapy program.

Your prescription may include:

• FDA-approved medications dispensed in accordance with manufacturer labeling
• Compounded medications prepared in licensed Florida facilities following Florida Board of Pharmacy regulations
• Some compounded medications may not be reviewed or approved by the U.S. Food and Drug Administration (FDA) but meet applicable quality and safety standards under Florida law

Your prescribing provider will determine the most appropriate medication based on your health history, treatment goals, and applicable clinical guidelines.

If your treatment includes a weight loss or weight management program, Florida Statute 501.0575 (“Weight Loss Bill of Rights”) requires that you be informed of the following:

WARNING: Rapid weight loss may cause serious health problems. Rapid weight loss is defined as losing more than 1½ to 2 pounds per week or more than 1% of body weight per week after the second week of participation in a program.

• Consult your personal physician before starting any weight-loss program.
• Only permanent lifestyle changes, such as making healthy food choices and increasing physical activity, promote long-term weight loss.
• Qualifications of our partner prescribing providers are available upon request.

You have the right to:

1. Ask questions about the potential health risks of the program, its nutritional content, psychological support, and educational components.
2. Receive an itemized statement of the actual or estimated price, including any extra products, services, supplements, examinations, and laboratory tests.
3. Know the actual or estimated duration of the program.
4. Know the name, address, and qualifications of the dietitian or nutritionist who has reviewed and approved the program, if applicable.

If your medication requires self-administration, such as injections:

• You will receive instructions and educational materials on proper technique
• Risks may include local site reactions (redness, bruising, discomfort), allergic reactions, and rare systemic effects
• If self-administering injections, it is recommended to have a responsible adult present for at least 30 minutes afterward
• You should have access to an epinephrine auto-injector.
  

While medication therapy can be beneficial, it carries potential risks such as:

• Nausea, vomiting, constipation, or diarrhea
• Dizziness, headache, or fatigue
• Changes in blood sugar, blood pressure, or fluid balance
• Injection site irritation or swelling

Your provider will monitor your therapy and adjust your plan to minimize risks. As with any treatment, results cannot be guaranteed.

You agree to:

• Provide complete and accurate medical history, including all current medications and supplements
• Follow the instructions provided on your prescription label and in educational materials
• Store medications safely and check expiration dates before use
• Maintain follow-up appointments as recommended
• Notify your provider promptly if you experience side effects or adverse reactions
• Inform all healthcare providers you see that you are using these medications

Medication therapy is not a substitute for emergency medical care.

• For life-threatening symptoms, call 911 immediately
• For mental health crises, call or text 988 (Suicide and Crisis Lifeline)

By proceeding with your prescribed medication therapy, you confirm that you:

• Have read and understand this policy
• Understand the potential benefits and risks of both FDA-approved and compounded medications
• Have had the opportunity to ask questions and receive satisfactory answers
• Agree to follow your treatment plan and instructions from your prescribing provider and Radiant Care Pharmacy

For questions or concerns about these Terms, contact us at:
Radiant Care Pharmacy
5779 S University Dr

Davie, Fl  33328

(954)-530-4808