Lincare Communication Preferences

Opt-In Written Consent for Marketing Communications

By signing and agreeing below (or by providing consent electronically), you consent to receive electronic marketing communications via e-mail, automated calls, pre-recorded or artificial voice and/or text messages from SUPPLIER and its affiliates (a list of SUPPLIER?s affiliates can be found under Get to Know Us at: https://www.lincare.com/MyLincare/Get-to-Know-Us) and parties calling on their behalf at the phone number(s) listed by you provided. The purpose of this Consent is to allow SUPPLIER, its affiliates and parties acting on their behalf to send you marketing messages, including, but not limited to, those containing information about new products and services, programs and special offers. You acknowledge that these messages may include HIPAA-protected and other personal information. SUPPLIER cannot guarantee the security of any information, including HIPAA-protected or personal information, transmitted via SMS or email using a third party (such as Google, AOL, AT&T, Verizon and others). You understand: 1) You may obtain this HIPAA-protected or personal information via an alternative method; 2) Agreeing to this Consent is not a condition of purchasing any goods or services; 3) The frequency of messages will vary based on my needs and data rates may apply; And 4) The acceptance or rejection of this Consent does not affect the ability of SUPPLIER and its affiliates to use other categories of electronic messaging communications via email, automated calls, pre-recorded or artificial voice/text messages that are otherwise allowed by agreement and/or without express written consent.



HIPAA MARKETING AUTHORIZATION

SUPPLIER is hereby authorized to use and disclose my contact information and order history to make marketing communications to me about products or services that I might be interested in. This Authorization will expire 15 months following the last date SUPPLIER furnished products and/or services, or at any time you choose to revoke this Authorization by calling ------. SUPPLIER may not condition your receipt of services or equipment on whether you choose to sign this Authorization. Disclosures for this purpose will only be made to SUPPLIER?s contracted printers/mailing houses, not to manufacturer partners. I acknowledge that SUPPLIER may receive financial remuneration from an affiliate or manufacturer whose product or service is being marketed. By law, we are required to notify you that information disclosed pursuant to this Authorization may be subject to redisclosure by the recipient and thus no longer protected by HIPAA. For the purposes of my consent to marketing communications, the most recently executed HIPAA Marketing Authorization controls.



Patient Education & Compliance Reminders

Treatment compliance, physician follow ups,device usage,etc.



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