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Online Refill Disclaimer

1. I certify that the information I am submitting is 100% factual to the best of my knowledge.
2. I understand that all information submitted is confidential and will not be shared with outside sources.
3. I understand that I must submit sufficient information about myself and my issue to prevent delays in being contacted by technical support.
   1. Missing information may result in technical support not being able to contact you.
4. I understand that I may not be contacted back immediately and that response times are dependent upon operation hours.
   1. Responses to issues will be made during normal business hours.
   2. Every attempt will be made to resolve issues so that refills can be submitted and received as quickly as possible.
5. I understand that any attempts to commit fraud or any other dishonest act will be met with disciplinary and/or legal action against me and any other party involved.
6. I understand that Cherokee Nation Health Services will not be held liable for any misuse of this refill request system or any other part of the this website.
7. I understand that if I have any questions about my medications that I should contact a pharmacist before taking any medications.
   1. If a pharmacist is not available, please call W.W. Hastings Hospital at 918-458-3100 to speak with a member of the healthcare staff.
   2. If you are having an emergency, dial 911 or another local emergency number.