By accepting this Enhanced Physician Attestation (“Attestation”), the undersigned licensed healthcare provider (“Provider”) makes the following representations and affirmations to Deep Quest LLC, a Wyoming limited liability company, doing business as “Go My Docs” (“GMD”), in connection with Provider’s participation in the Go My Docs platform.
Provider attests that they hold an active, unrestricted license to practice medicine and prescribe medications in each jurisdiction in which they provide care to patients through the Go My Docs platform. Provider further attests that they are legally authorized to evaluate patients, establish physician–patient relationships, and prescribe patient-specific compounded medications where permitted by applicable federal and state law. Provider agrees to promptly notify GMD of any change to licensure status, disciplinary action, restriction, suspension, or revocation.
Provider attests that, for every prescription submitted through the Go My Docs platform, a valid physician–patient relationship has been established in accordance with applicable law, whether through an in-person evaluation or a legally compliant telemedicine encounter. Provider further affirms that each prescription is issued solely based on Provider’s independent medical judgment and individualized determination of medical necessity for the patient.
Provider expressly acknowledges and attests that all compounded medications authorized through the Go My Docs platform are patient-specific and prepared pursuant to valid prescriptions issued for Provider’s own patients. Provider affirms that they are the compounder of record for such preparations and that all compounding occurs by or under the authority of Provider’s medical license. Provider further acknowledges that they retain legal responsibility for the authorization of compounded medications prepared for their patients, and understands that GMD and its affiliated facilities provide non-clinical, technical, and administrative services only and do not practice medicine or pharmacy.
Provider attests that they have authorized the use of one or more centralized, USP-aligned facilities made available through the Go My Docs platform as designated compounding locations for the preparation and fulfillment of patient-specific compounded medications prescribed by Provider. Provider understands and agrees that technical personnel operating within such facilities perform delegated technical tasks under Provider’s authorization and do not independently compound, prescribe, or dispense medications.
Provider attests and agrees that they will not authorize office-use, bulk, anticipatory, or speculative compounding; will not authorize compounding absent an established physician–patient relationship; will not maintain, resell, or redistribute compounded medications; and will not permit prescriptions to be issued by unlicensed individuals or delegated staff. Provider acknowledges that any such conduct would be inconsistent with physician-directed compounding and may result in immediate suspension or termination of platform access.
Provider acknowledges that compounding activities performed at designated facilities follow USP-aligned standards, including applicable portions of USP <795>, <797>, and <800>, as quality and safety benchmarks only. Provider understands and agrees that adherence to USP standards does not convert any facility into a pharmacy or outsourcing facility and does not alter the physician-directed nature of the compounding model.
Provider attests that they will promptly report any known or suspected adverse events associated with compounded medications authorized through the Go My Docs platform, in accordance with applicable law and GMD’s reporting procedures, and will cooperate with any reasonable follow-up or documentation requests related to such events.
Provider attests that they are solely responsible for ensuring that their prescribing activity, including telemedicine evaluations and authorization of compounded medications, complies with all applicable laws and regulations of the jurisdictions in which patients are located, including licensure, scope of practice, and prescribing requirements.
Provider acknowledges that GMD relies on the accuracy and truthfulness of this Attestation in permitting Provider to access the platform and related services. Provider understands that any material misrepresentation, omission, or violation of this Attestation may result in immediate suspension or termination of platform access and may subject Provider to additional legal or regulatory consequences.
By clicking “I Agree,” “Accept,” or similar, and/or by creating or continuing to use a Provider account on the Go My Docs platform, Provider certifies under penalty of perjury that all statements in this Attestation are true and correct and agrees to be legally bound by its terms. Electronic acceptance constitutes a legally binding signature with the same force and effect as a handwritten signature.
This Physician Network Participation & Platform Terms Agreement (“Agreement”) is entered into by and between the undersigned licensed healthcare provider (“Provider”) and Deep Quest LLC, a Wyoming limited liability company, doing business as “Go My Docs” (“GMD”).
By registering for and using the Go My Docs platform, Provider acknowledges that they have read, understood, and agree to be legally bound by this Agreement.
Go My Docs provides a technology-enabled platform and related non-clinical administrative, technical, and infrastructure services that support licensed healthcare providers in managing patient care workflows, documentation, and fulfillment coordination.
As part of these services, Go My Docs makes available centralized, USP-aligned facilities and technical support that may be utilized by providers, at their discretion, for the preparation and fulfillment of patient-specific compounded medications pursuant to the providers’ independent medical judgment and authority.
Nothing in this Agreement is intended to create, nor shall it be construed as creating, a pharmacy, a Section 503A or 503B outsourcing facility, a drug manufacturer, a dispensing entity, or the corporate practice of medicine.
Provider is an independent licensed medical professional and is not an employee, agent, partner, or representative of GMD. Provider retains sole and exclusive responsibility for establishing a valid physician–patient relationship, performing all medical evaluations, determining medical necessity, selecting the medication, formulation, dosage, route, quantity, and duration of therapy, authorizing patient-specific compounded medications, and monitoring patient outcomes.
GMD does not direct, influence, recommend, or control Provider’s clinical decision-making in any manner.
Provider authorizes the use of a centralized facility operated by or on behalf of GMD (the “Facility”) as a designated compounding location for the preparation of patient-specific compounded medications prescribed by Provider. All compounding performed through the Go My Docs platform occurs by or under the authority of Provider’s medical license, and Provider is the compounder of record for all such preparations.
GMD and the Facility provide non-clinical, technical, and administrative services only.
Provider may authorize compounding solely pursuant to a valid, patient-specific prescription. Provider shall not authorize office-use or bulk compounding, anticipatory or speculative compounding, inventory maintenance, or preparation absent an established physician–patient relationship.
Provider acknowledges that compounding activities follow USP-aligned standards as quality and safety benchmarks only and do not alter the physician-directed nature of the model.
Compounded medications are prepared only after receipt of a valid patient-specific prescription and shipped directly to the named patient unless otherwise permitted by law.
Provider is granted access to the Go My Docs platform for non-clinical administrative functions. Any fees shall be uniform and not tied to prescribing behavior.
Provider represents and warrants that they maintain proper licensure and comply with all applicable laws and audits.
Provider agrees to comply with HIPAA and applicable data privacy laws.
Provider retains sole responsibility for medical decisions and agrees to indemnify GMD except in cases of gross negligence or willful misconduct.
Either party may terminate this Agreement upon written notice.
This Agreement is governed by the laws of the State of Wyoming and disputes shall be resolved through binding arbitration.
This Agreement constitutes the entire agreement between the parties and electronic acceptance constitutes a legally binding signature.
This Business Associate Agreement (“Agreement”) is entered into between:
Covered Entity: The healthcare provider or organization using Go My Docs (“Covered Entity”)
and
Business Associate: Go My Docs / Deep Quest LLC (“Business Associate”)
This Agreement is effective as of the date the Covered Entity accepts it electronically.
Covered Entity uses the Go My Docs platform to manage patient intake, medical documentation, communications, telehealth workflows, prescription coordination, and related healthcare operations involving Protected Health Information (“PHI”).
Business Associate may create, receive, maintain, or transmit PHI on behalf of Covered Entity.
This Agreement ensures compliance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).
Terms have the meanings defined in HIPAA (45 CFR Parts 160 & 164). Key terms include:
Business Associate may use PHI to:
Business Associate will not sell PHI or use PHI for marketing.
Business Associate agrees to:
In accordance with HIPAA Security Rule.
Business Associate may use subcontractors (cloud hosting, communications, etc.) who:
Business Associate will notify Covered Entity of a Breach of unsecured PHI without unreasonable delay and no later than 30 days after discovery.
Notification will include:
Business Associate will:
This Agreement remains in effect while Business Associate handles PHI.
Upon termination, PHI will be returned or securely destroyed when feasible.
Each party is responsible for violations caused by its own negligence or misconduct.
This Agreement creates no rights for third parties.
This Agreement is governed by applicable U.S. federal and state law.
By creating an account or using the Go My Docs platform, Covered Entity agrees to this Business Associate Agreement. Electronic acceptance constitutes a legally binding signature under ESIGN and UETA.
Accepted via electronic signature system.