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Ripple Signup Form

Hello!

Thank you for your interest in the Ripple™ programme. In this form we'll ask you a few questions — we want to ensure we tailor a unique experience for you when we first meet!

We understand the importance of providing you with the best support possible, and to do that we need to gather some personal information from you.

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By clicking 'I agree' at the end of the page, you're giving Sheares Healthcare, our affiliates, and their third-party service providers permission to collect, use, disclose, and process your personal data for the purpose of this programme.

 

You're also agreeing to register for the Ripple™ programme and share your name and contact details with the programme team, which will only be used to contact you and register you into the programme. Additionally, you're allowing the Ripple™ programme team to collect your medical records from your referring doctor or other medical professional, whose contact details you provide to Sheares Healthcare for the purpose of this programme.

 

We appreciate your trust and we assure you that your personal information will be handled with the utmost confidentiality. For more information on our privacy policy, please visit www.ripple.sg/privacy-policy. Please also note that your participation in the Ripple™ programme is governed by our Terms of Use, which can be found at www.ripple.sg/terms-of-use.

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