Physician’s Choice Wellness Virtual Compliance Agreement

I understand that I will use the PCW E-Store to order high quality meal replacements, crunchy snacks, high protein bars, and/or portion controlled light entrées.

I understand I am responsible for reaching out to the PCW team with any issues or questions.

I understand I will be provided with a weekly form to share my weight loss progress.

I understand that I am doing the “Lean Lifestyle Living Virtual Program” which consists of no more than 2-3 meal replacements per day.

I understand that I will be added to the Physician’s Choice Wellness e-mail list. PCW does not share any personal information with third parties.

I understand that any meal replacements I purchase will only be shipped to me and I will not be able to pick them up.

I understand that PCW recommends working closely with your primary care provider before beginning any weight loss program.

I understand that by submitting this form I am in effect signing and agreeing to all terms listed above.

I consent to have Physician's Choice Wellness and this website store my submitted information so they can respond to my inquiry via email or phone.