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Consent to the Statement
I understand that this is a restricted access web portal and represent that I am an authorized user of this service. I understand and agree that [Innomar] may collect my web registration information and other information related to my use of this portal in order to help confirm my 'authorized user' status, to communicate with me and to optimize my use of this site. I agree that I will only access information contained on the web portal for which I have previously received all appropriate authorizations and consents and will use such information only for duly authorized purposes. I agree not to disclose any information contained on this web portal to any other person without the consent of the person concerned, unless I am otherwise permitted to do so by law.
** Optional **
Select 'Association Request' to link your account to a Physician(s) you work with. This will allow you to enrol patients for those Physicians and view patient status. Your request will need to be approved by the Physician or the Program. If you do not select this option, you still have the option to request a Physician association once your registration is complete or the Program can assist with this step. Please contact the Program if you need assistance.
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