This consent form explains important information about compounded weight-management medication(s) that may be prescribed to you as part of your care through High Performance Human (HPH), an Australian doctor-supervised, telehealth weight-management service. Please read this document carefully. By ticking the consent box on your questionnaire, you confirm that you understand and agree to the information below.

What Does "Off-Label Use" Mean?

"Off-label use" means that a medicine is being prescribed for a purpose, dose, or patient group that is not included in its official registration with the Therapeutic Goods Administration (TGA), the Australian regulator for medicines. In Australia, doctors may legally prescribe medicines "off-label" if, in their clinical judgement, it is the most appropriate treatment for you. This use is considered standard medical practice when supported by evidence and clinical guidelines.

What is a Compounded Medication?

A "compounded medication" is a medicine specially prepared for an individual patient by a licensed compounding pharmacy, based on a prescription from your doctor. Compounded medications are not mass-manufactured or approved by the TGA for general use.

TGA Disclaimer

Compounded medicines are not assessed by the Therapeutic Goods Administration (TGA) for safety, quality, or efficacy. Their effects, including risks, may not be fully understood.

Risks and Uncertainties

Off-label and compounded medication(s) may carry risks that are not as well-studied as standard, TGA-approved medications.
There may be side effects, both known and unknown, and your individual response may be different from others.
Not all potential benefits and risks may be known due to limited research.
If you experience any side effects or unexpected reactions, you should notify your treating doctor and/or pharmacist as soon as possible.
All medicines—even those made specifically for you—may interact with other medications or health conditions.

Expected Outcomes

No particular outcome or benefit can be guaranteed when taking off-label or compounded medication(s).
Responses to weight-management medications vary from person to person.
The medication(s) are only one part of your overall, medically supervised weight-management program.
Your treating doctor will make all prescribing and ongoing medical decisions based on your health status and needs.

Your Rights as a Patient

You have the right to ask your treating doctor any questions about compounded or off-label medications before starting treatment.
You may withdraw your consent and stop treatment at any time, for any reason, without affecting your ongoing medical care.
You should inform your treating doctor or pharmacy if you experience side effects, new symptoms, or concerns with your medication.

Voluntary and Informed Consent

By ticking the consent box, you confirm that you have read and understood this document in full.
You acknowledge that you have the capacity to give informed consent for medical treatment.
You understand why compounded weight-management medication(s) may be prescribed off-label and the potential risks involved.
You have had the opportunity to discuss any questions with your treating doctor and to seek further information as needed.
You freely and voluntarily consent to receive compounded weight-management medication(s) prescribed off-label as part of your weight-management program.