Semaglutide Consent Form - I voluntarily request that live hearty treats my medical condition. This document is intended to serve as a confirmation of informed consent for compounded semaglutide, which is a prescription weight management medication. It is used to help adults lose weight and keep the weight off. You are being asked to join this clinical research study, referred to in this consent form as “this study,” because you have type 2 diabetes that is not controlled well with diet, exercise, and metformin treatment. Web by signing, i certify that i have read and understand the contents of this form. Novo nordisk a/s, novo allé, 2880 bagsvaerd, denmark investigator: I am aware of the possible side effects and drug interactions and give my consent for treatment. I have informed the medical staff of any known allergies to drugs or other substances, and any past adverse reactions i’ve experienced. Web participant information and agreement to take part form title: We kindly ask all new patients to print and fill out both the patient form and patient consent form prior to their visit.
Web by signing, i certify that i have read and understand the contents of this form. Web semaglutide is an injectable prescription medicine used for adults with obesity or who are overweight (excess weight); We kindly ask all new patients to print and fill out both the patient form and patient consent form prior to their visit. Web weight management (semaglutide) prescription drug management consent. Web participant information and agreement to take part form title: The form includes information on semaglutide indications, contraindications, warnings, precautions, adverse reactions, and drug interactions. You are being asked to join this clinical research study, referred to in this consent form as “this study,” because you have type 2 diabetes that is not controlled well with diet, exercise, and metformin treatment. I am aware of the possible side effects and drug interactions and give my consent for treatment. I voluntarily request that live hearty treats my medical condition. I have informed the medical staff of any known allergies to drugs or other substances, and any past adverse reactions i’ve experienced. Novo nordisk a/s, novo allé, 2880 bagsvaerd, denmark investigator: It is used to help adults lose weight and keep the weight off. This document is intended to serve as a confirmation of informed consent for compounded semaglutide, which is a prescription weight management medication.