By agreeing to these BrandX Inc. Terms & Conditions, I acknowledgePrefiere no responder that I am agreeing to provide my personal information, such as name and emailPrefiere no responder address, to BrandX Inc. Providing this information will allow mePrefiere no responder to participate in BrandX's program to receive information by email for marketingPrefiere no responder purposes or to otherwise provide me with information about BrandX's products,Prefiere no responder services, and programs or other topics of interest, conduct market research, orPrefiere no responder otherwise ask me about my experience with or thoughts about such topics.

BrandX Inc. is not a "Covered Entity" or "Business Associate" underPrefiere no responder the Federal Government's Health Information Privacy Rule, or "HIPAA," that requiresPrefiere no responder the protection of each patient's confidential information. By releasing my personalPrefiere no responder information to BrandX Inc., I acknowledge that this information will not be protected by HIPAA, including, among other things, by the administrative,Prefiere no responder physical, and technical safeguards that HIPAA requires.

These BrandX Inc. Terms & Conditions are not part of my physician'sPrefiere no responder check-in process and I acknowledge that I do not have to agree to these BrandXPrefiere no responder Pharmaceuticals Inc. Terms & Conditions. I understand that my physician will treat mePrefiere no responder regardless of whether I agree. If I do not agree, I will not be permitted to participate inPrefiere no responder BrandX Inc.

I also certify that I am at least 18 years of age and a US resident.

By providing my information above, I am giving BrandX and companies working withPrefiere no responder BrandX permission to contact me by email for marketing purposes or to otherwisePrefiere no responder provide me with information about BrandX's products, services, and programs or otherPrefiere no responder topics of interest, conduct market research, or otherwise ask me about my experiencePrefiere no responder with or thoughts about such topics. BrandX will not sell or transfer my information toPrefiere no responder any unrelated third party for marketing purposes without my express permission.

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Ost eum reperspe esequae prat odi ratestibus dolorro dolore corporiost, volorep ersperrum volupienisi bla ipis sus et in nus eum, sum quame porro modipidenda plant earuptum re dipiducidis am volupta temporem ea imusam, sitem il iuntium, ut quos estiae sequid enet faccus dio essum consed mi, opta volut delest, vent, quaspel im as el magnis plandebis volumquiae non commolo rernatem voluptaest audi nonsedias derum volorerum volorist abores di quae sumenih illiquatur, optatiis porum et, sunt quassi de volut aut dipsam, tem.

Ost eum reperspe esequae prat odi ratestibus dolorro dolore corporiost, volorep ersperrum volupienisi bla ipis sus et in nus eum, sum quame porro modipidenda plant earuptum re dipiducidis am volupta temporem ea imusam, sitem il iuntium, ut quos estiae sequid enet faccus dio essum consed mi, opta volut delest, vent, quaspel im as el magnis plandebis volumquiae non commolo rernatem voluptaest audi nonsedias derum volorerum volorist abores di quae sumenih illiquatur, optatiis porum et, sunt quassi de volut aut dipsam, tem.