By completing and submitting this form, you are providing consent to the Roche Diabetes Care Australia and GI Foundations privacy statements. Click here to view the RDCA privacy statement. Click here to view the GI Foundation privacy statement. 

Roche Diabetes Care Australia (RDCA) and GI Foundation guarantee that the information collected is confidential and will not be disclosed to other parties. By providing your information, you agree to RDCA and GI Foundation contacting you for direct marketing and/or marketing research for an indefinite period. You may opt out of the mentioned activities at any time in the future by contacting RDCA or GI Foundation.

RDCA - Phone: 1800 251 816. Email: [email protected] or Mail: Privacy Officer, Roche Diabetes Care Australia.

GI Foundation - Phone: 02 9552 9882 Email: [email protected]