IMPORTANT: To complete enrollment, your PATIENT must read the Privacy Statement and Enrollment information below, and your PATIENT must then check the box below to indicate agreement with privacy statement and consent to enroll and click "Submit". Consumer Service Membership
For the purpose of enrolling in Secure Start services, a free consumer service program, and receiving the associated membership benefits, I consent to the processing of my personal identification, communication preference, health information, product information, third party information, transactional information, and request details by Hollister and its Group Companies (see link below) and its affiliated service company, where applicable. I understand that these services are free of charge, and there is no obligation to purchase anything to receive them. I understand that I am under no obligation to participate in any/ all of the applicable membership benefits, such as assistance identifying product supplier options, and receiving product samples and other complimentary items. I understand that Hollister, its Group Companies and affiliated product supplier, may communicate with me about consumer services, or as part of a membership benefit, using the contact information (postal address, email, phone, & sms text) that I have provided. Hollister may also share my personal and health information with my healthcare professional, doctor, healthcare product supplier, health insurance provider or other third parties as indicated in the data privacy notice. Hollister reserves the right to change the consumer service program at any time.
I agree to Consumer Service Membership (This checkbox is required)
For the purpose of receiving information about products, promotions, and other direct marketing campaigns, I consent to the processing of my personal identification, communication preference, health information, and request details, where applicable, by Hollister, which includes its Group Companies (see link below). I understand that Hollister and its Group Companies may communicate with me about these topics, using the contact information (postal address, email, phone, & sms text) that I have provided.
I agree to Direct Marketing
Your consent is optional and you have the right to withdraw it at any time. To withdraw your consent or to make changes to your communication preferences, contact us at
firstname.lastname@example.org. Such withdrawal only has future effect (i.e. the withdrawal of your consent has no effect on the lawfulness of the data processing and disclosures before the withdrawal was made).
For more details regarding Hollister and its Group Companies, please refer to our
Group Companies Page. Please find further details regarding the processing of your personal data and your legal rights in our full Privacy Notice.