Confirmation

My answers to the questions above are accurate. I acknowledge that if any responses are not accurate, I may not be eligible for reimbursement of expenses associated with this request.

By clicking “I agree” below, you agree to the following:

Personalized Prescribing Inc. is a separate company from, and is not affiliated with The Equitable Insurance Company of Canada (Equitable). I understand that I am not required to use Personalized Prescribing Inc. services and it is entirely my decision whether to proceed.

I hereby release Equitable from any and all liability that may arise from or in relation to my use of Personalized Prescribing Inc. services, including without limitation any negative outcomes that may be associated with drug recommendations by Personalized Prescribing Inc. and any unauthorized use or disclosure of personal information I provide to Personalized Prescribing Inc. 

I understand that the drugs recommended by Personalized Prescribing Inc. may not be covered under my Equitable group benefits plan and that I can determine whether such drugs are covered by contacting Equitable.