Personal Use Guidelines requirements
Provide Patient Consent
Patient must provide signed consent for: Release of Medical Records; Acknowledgment for Use of Records; Condition of Participation, and Consent to Assume Risk.
Click here fore consent form
Personal Use Guidelines
- Products may be acquired for personal use only. (Not for commercial resale)
- Treatment is not currently available to the patient in their country.
- Patient has made a physician aware they are taking additional medical treatment.
- Patient has been instructed in the administration of treatment.
Patients may acquire Anvirzel™ therapy from Honduras under the personal use guidelines.
The patient must provide a completed Affirmation of Personal Use Form signed by the patient or patient representative.
Salud Integral is currently treating patients from various countries (i.e., Korea, England, Ireland, Germany, Turkey, Canada, Mexico, USA; and others).
Click here for patient affirmation form