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I understand that I am not required to provide this consent as a condition of purchasing any goods or services.

may include any information, in electronic or physical form, in the possession of or derived from a health care provider, health care plan, pharmacy, pharmaceutical company, laboratory and/or their contractor (“Health Care Provider).

Federal Law (including HIPAA) requires a signed authorization in order for Amgen to collect this information from my Health Care Providers.

Do not stay out of the fun and join now to start making friends in your city in a relaxed atmosphere and good vibes.offers other useful services to help on the path to dramatically lower LDL bad cholesterol and reduce your risk of heart attack or stroke.I understand that once my personal health information has been disclosed to Amgen, federal privacy laws may no longer apply and protect it from further disclosure.Amgen agrees, however, to protect my personal health information by only using and disclosing it as stated in the Authorization or as otherwise allowed or required by law.This may include select information from or about my medical history and general health, my health care plan benefits, payment limits or restrictions covered by my health care plan policy, and/or my adherence to my treatment.

I authorize my Health Care Providers to disclose to Amgen, and between themselves, as necessary, but only for the purposes stated above in this Authorization.

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