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I consent to my data being processed for the purposes outlined below and in accordance with the Roche Privacy Policy.

Roche Diabetes Care Australia Pty Ltd ("Roche") collects your personal information ("Data") in order to respond to your inquiry; and fulfil your request for information relating to Roche products. If you choose not to provide Data to Roche through this form, we may be unable to respond to your message or fulfil your request for information, and kindly ask that you use other channels to contact us.

Your Data may be stored on, accessed or processed by and shared with other affiliates within the global Roche Group, third-parties working with Roche or Roche affiliates located both within and outside of Australia, regulatory authorities or as required by law.

Roche does not expect to collect identifiable sensitive Data, such as medical history and health information, through this form. If you include any sensitive Data about an identifiable person in this form, Roche will only use it for the purposes of responding to your inquiry, fulfilling your request for information, or fulfilling our regulatory or legal obligations. Roche will not share sensitive Data without explicit consent except in accordance with any exceptions contained in the Privacy Act 1988 (Cth).

By including personal information of another person in the form, you represent the lawfulness of processing of such personal information, including availability of any required consents from the person.

Roche Privacy Policy includes important information about how Roche collects, uses and discloses your Data, how you can access or seek correction of your Data, how you can complain about a breach of the Privacy Act 1988 (Cth) and how we will deal with a complaint of that nature.