{"id":5062,"date":"2024-06-06T07:27:37","date_gmt":"2024-06-06T07:27:37","guid":{"rendered":"https:\/\/organonpro.com\/en-uk\/?page_id=5062"},"modified":"2025-07-03T11:12:47","modified_gmt":"2025-07-03T11:12:47","slug":"quick-consent-collection","status":"publish","type":"page","link":"https:\/\/organonpro.com\/en-uk\/quick-consent-collection\/","title":{"rendered":"Stay connected with Organon"},"content":{"rendered":"\n<p class=\"has-text-align-center\">Add your personal details below and consent to receive the latest updates from Organon.<br>By signing up, you\u2019ll be able to access the latest information on our newest products, training and events, and valuable resources designed to support your practice. You will be able to update your communication preferences or unsubscribe at any time from the \u2018my account\u2019 menu after you have completed the registration process.<\/p>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_13' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Quick Consent<\/h2>\n                            <p class='gform_description'>This form is used to quickly collect the consents from HCPs<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_custom\">(Required)<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/en-uk\/wp-json\/wp\/v2\/pages\/5062' data-formid='13' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_13_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your contact information<\/h3><\/div><div id=\"field_13_1\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half quickconsent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_1'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_1' id='input_13_1' type='email' value='' class='large'   placeholder='Email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_13_22\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_22'>Telephone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_22' id='input_13_22' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_13_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div id=\"quick_consent_email_validation_div\" class=\"gfield_description validation_message gfield_validation_message\">\nThis email address is already registered. We have sent follow up instructions via email.<\/div><\/div><div id=\"field_13_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_11'>Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_13_11' class='large gfield_select form-control js-example-basic-single search-box-hide'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='Dr.' >Dr<\/option><option value='Miss' >Miss<\/option><option value='Mr.' >Mr<\/option><option value='Mrs.' >Mrs<\/option><option value='Ms.' >Ms<\/option><option value='Nurse' >Nurse<\/option><option value='Prof.' >Prof<\/option><\/select><\/div><\/div><div id=\"field_13_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_3'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_13_3' type='text' value='' class='large'    placeholder='First Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_4'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_13_4' type='text' value='' class='large'    placeholder='Surname' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_16'>Profession<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_13_16' class='large gfield_select form-control js-example-basic-single search-box-hide'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Profession<\/option><option value='DR' >Physician<\/option><option value='MN' >Administrator<\/option><option value='NR' >Nurse<\/option><option value='RP' >Pharmacist<\/option><option value='PU' >Pharmacy Technician<\/option><option value='OT' >Other<\/option><\/select><\/div><\/div><div id=\"field_13_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_26'>Main specialty<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_13_26' class='large gfield_select form-control js-example-basic-single search-box-hide'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Specialty<\/option><option value='P' >Adult Psychiatry<\/option><option value='A' >Allergy<\/option><option value='AN' >Anaesthetics<\/option><option value='AI' >Asthma<\/option><option value='AU' >Audiology<\/option><option value='AM' >Aviation Medicine<\/option><option value='CBG' >Biochemistry<\/option><option value='MEP' >Biomedical Engineering<\/option><option value='BO' >Breast Care<\/option><option value='C' >Cardiology<\/option><option value='TCV' >Cardiothoracic Surgery<\/option><option value='GER' >Care of the Elderly<\/option><option value='CHP' >Child &amp; Adolescent Psychiatry<\/option><option value='OS' >Client Specific Specialty<\/option><option value='PA' >Clinical Pharmacology<\/option><option value='RO' >Clinical Oncology<\/option><option value='CRS' >Colorectal Surgery<\/option><option value='RCH' >Community Medicine<\/option><option value='D' >Dermatology<\/option><option value='DGP' >Dentistry<\/option><option value='DIA' >Diabetes &amp; Endocrinology<\/option><option value='DT' >Dietetics<\/option><option value='EM' >Emergency Medicine<\/option><option value='EPL' >Epilepsy<\/option><option value='PYG' >Elderly Psychiatry<\/option><option value='FPL' >Family Planning<\/option><option value='PFP' >Forensic Psychiatry<\/option><option value='GE' >Gastroenterology<\/option><option value='GP' >General Practice<\/option><option value='GPM' >General Medicine<\/option><option value='GS' >General Surgery<\/option><option value='GEN' >Genetics<\/option><option value='GM' >GU Medicine<\/option><option value='HEM' >Haematology<\/option><option value='MDM' >Healthcare Administration<\/option><option value='HEP' >Hepatology<\/option><option value='PTH' >Histopathology<\/option><option value='HIV' >HIV<\/option><option value='HOM' >Homeopathy<\/option><option value='LBM' >Hospital Laboratory<\/option><option value='NRSG' >Hospital Nurse<\/option><option value='CCM' >Intensive Care<\/option><option value='ID' >Infectious Diseases<\/option><option value='IG' >Immunology<\/option><option value='SCH' >Learning Disability<\/option><option value='MHC' >Liaison Psychiatry<\/option><option value='L' >Lipidology<\/option><option value='MFM' >Maternity<\/option><option value='US' >Medical Devices<\/option><option value='ON' >Medical Oncology<\/option><option value='EDM' >Metabolic Medicine<\/option><option value='MM' >Microbiology<\/option><option value='N' >Neurology<\/option><option value='NS' >Neurosurgery<\/option><option value='NE' >Neonatology<\/option><option value='CN' >Neurophysiology<\/option><option value='NM' >Nuclear Medicine<\/option><option value='OBG' >Obstetrics &amp; Gynaecology<\/option><option value='OCT' >Occupational Therapy<\/option><option value='ODT' >Orthodontics<\/option><option value='OM' >Occupational Health<\/option><option value='OMF' >Oral\/Maxillofacial Surgery<\/option><option value='ONG' >Oncology<\/option><option value='OPH' >Ophthalmology<\/option><option value='ORS' >Orthopaedics<\/option><option value='PAT' >Pathology<\/option><option value='PD' >Paediatrics<\/option><option value='PDS' >Paediatric Surgery<\/option><option value='PLM' >Palliative Medicine<\/option><option value='PMGM' >Pain Control<\/option><option value='PHA' >Pharmacy<\/option><option value='PHY' >Physiology<\/option><option value='PHT' >Physiotherapy<\/option><option value='PS' >Plastic Surgery &amp; Burns<\/option><option value='POD' >Podiatry<\/option><option value='PHP' >Practice &amp; Community Nurse<\/option><option value='PSY' >Psychology<\/option><option value='PYA' >Psychotherapy<\/option><option value='PH' >Public Health Medicine<\/option><option value='R' >Radiology<\/option><option value='TR' >Radiotherapy<\/option><option value='PM' >Rehabilitation<\/option><option value='REN' >Reproductive Medicine<\/option><option value='RES' >Research<\/option><option value='PLMN' >Respiratory Medicine<\/option><option value='CPM' >Retail Chemist<\/option><option value='NEP' >Renal Medicine<\/option><option value='RHU' >Rheumatology<\/option><option value='ESM' >Sports Medicine<\/option><option value='SPLN' >Speech &amp; Language<\/option><option value='ADM' >Substance Misuse\/Addiction<\/option><option value='FMP' >Tertiary Care Nurse<\/option><option value='SRG' >Theatre<\/option><option value='TRP' >Tropical Medicine<\/option><option value='TTS' >Transplant Surgery<\/option><option value='URO' >Urology<\/option><option value='V' >Virology<\/option><option value='VE' >Venereology<\/option><option value='VS' >Vascular Surgery<\/option><option value='PHM' >Wholesaler<\/option><\/select><\/div><\/div><div id=\"field_13_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_28'>Professional number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_13_28' type='text' value='' class='large'    placeholder='(GMC, NMC or GPhC)' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_15'>Workplace name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_13_15' type='text' value='' class='large'    placeholder='Workplace name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_25'>Workplace street name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_13_25' type='text' value='' class='large'    placeholder='Workplace street name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_18'>Workplace Postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_13_18' type='text' value='' class='large'    placeholder='Postcode' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_33\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Nexplanon\u00ae (etonogestrel) Training Support Programme<\/h3><\/div><fieldset id=\"field_13_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >I am interested in learning to fit \/ remove Nexplanon\u00ae (etonogestrel)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_29'><div class='gchoice gchoice_13_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value=''  id='choice_13_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_29_1' id='label_13_29_1' class='gform-field-label gform-field-label--type-inline'>I am interested<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><br><\/div><div id=\"field_13_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your communication preferences<\/h3><div class='gsection_description' id='gfield_description_13_32'><strong>By selecting the options below, I consent to the processing of my personal data by Organon for direct marketing purposes. This may include promotional and non-promotional content, information on medical events, educational content and details about Organon products. Additionally, it may involve information about products from other pharmaceutical companies that Organon markets and distributes.<\/strong><\/div><\/div><fieldset id=\"field_13_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox simplifiedcheckbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email from your Organon representative<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_6'><div class='gchoice gchoice_13_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='AE'  id='choice_13_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_6_1' id='label_13_6_1' class='gform-field-label gform-field-label--type-inline'><p id='quickConsentComm'>I would like to receive email from my Organon representative to keep me informed about the above-mentioned content.<\/p><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox simplifiedcheckbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Organon updates via email<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_7'><div class='gchoice gchoice_13_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='ME'  id='choice_13_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_7_1' id='label_13_7_1' class='gform-field-label gform-field-label--type-inline'><p id='quickConsentComm'>I would like to receive marketing email from Organon to keep me informed about the above-mentioned content<\/p><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full simplifiedcheckbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Organon updates via SMS \/ electronic messaging<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_23'><div class='gchoice gchoice_13_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='SMS'  id='choice_13_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_23_1' id='label_13_23_1' class='gform-field-label gform-field-label--type-inline'><p id='quickConsentComm'>I would like to receive electronic messages (SMS or similar) from Organon to keep me informed about the above-mentioned content.<\/p><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full simplifiedcheckbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Telephone calls from your Organon representative<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_24'><div class='gchoice gchoice_13_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='PHC'  id='choice_13_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_24_1' id='label_13_24_1' class='gform-field-label gform-field-label--type-inline'><p id='quickConsentComm'>I would like to receive telephone calls from my Organon representative to keep me informed about the above-mentioned content.<\/p><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_27\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >DECLARATION OF CONSENT FOR PERSONAL DATA PROCESSING<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_custom\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_13_27' tabindex='0'><p><strong>Organon Pharma (UK) Limited<\/strong>, Commercial Address: 145 City Road, London, EC1V 1AZ, (Registered Address: Shotton Lane, Cramlington, United Kingdom, NE23 3JU, Registered in England, Company number: 00820771) &#8211; <strong>for HCPs based in the UK<\/strong>,<\/p> <p><strong>Organon (Ireland) Limited<\/strong>, 2 Dublin Landings, North Wall Quay &#8211; North Dock, Dublin D01 V4A3 &#8211; <strong>for HCPs based in Ireland<\/strong>,<br><br> a part of the Organon group of companies (\u201cOrganon\u201d), as a personal data controller, is committed to protecting your privacy and personal data and will comply with all applicable data privacy laws. We set out below the information on how we will process your personal data. Further details about our commitment to privacy may be found at <a href=\"https:\/\/www.organon.com\/privacy\">https:\/\/www.organon.com\/privacy<\/a>.<\/p> <ol> <li><strong>Personal Data Processing<\/strong><br> <p>The personal data that Organon collects directly from you or from third parties and publicly available sources may include contact information, HCP uniform ID number, speciality, qualifications, title, professional recommendations, publications, patents, and other scientific and medical accomplishments; connections and interactions with organisations and institutions; scientific and professional programmes and activities in which you participate and your preferred means of communication and travel.<\/p> <p>Organon will collect, use, process and share your personal data for different purposes, which may include: <\/p> <ol> <li>Conveying information about Organon products and services and about products of other pharmaceutical companies on whose behalf Organon performs marketing and distribution activities, and their supply through Organon\u2019s medical representatives, websites, electronic mail, call centres, postal services, social media, and other channels, including advertising and other marketing communication (direct marketing and advertising) and commercial messages, including unsolicited ones, and participation in business\/ marketing research. This information will be provided to you based on evaluation and analysis of your preferences, needs and interests. By signing this form, you may give your consent to the purpose.<\/li> <li>Planning and reporting on the meetings that Organon&#8217;s medical representatives and other employees carry out with you. The legal basis of the processing is given by legal obligations or business&#8217;s legitimate interests.<\/li> <\/ol> <br> <\/li> <li> <strong>Period for Processing Your Personal Data<\/strong><br> <p>Your personal data will be processed for no longer than is necessary for the particular purpose. Organon fully complies with its statutory retention obligations and its internal retention time policies. Your personal data processed for marketing purposes will no longer be stored in case of withdrawal of the consent.<\/p> <\/li> <li> <strong>Transfer of Personal Data<\/strong><br> <p>As Organon is a part of a global group of companies, Organon may transfer your personal data to Organon group companies throughout the world for the above-mentioned purposes. In addition, your personal data may be transferred to and processed by third-party providers which perform services for Organon to enable these companies to perform the services requested by Organon. Only personal data that is necessary to fulfil the purposes stated above will be provided to these companies. All third-party providers must follow Organon&#8217;s instructions and applicable written data processor agreements and any other agreements that are in place between Organon and Organon&#8217;s third-party providers and must implement appropriate technical and organisational measures for the protection of the personal data.<\/p> <p>To ensure that your personal data is protected, Organon will transfer your personal data outside your country or region of residency, including the EEA, by means of transfer mechanisms provided by the applicable data privacy law, including but not limited to specific or standard contractual clauses, such as the EU Standard Contractual Clauses. You are entitled to request and receive a copy of the EU Standard Contractual Clauses mentioned above by contacting us at the contact details indicated below.<\/p> <\/li> <li> <strong>Your Rights<\/strong><br> <p>Without limitation, the rights you may exercise regarding your personal data that Organon processes include the right to access and rectification, the right to object, the right to erasure, the right to data portability and the right to restrict processing. Organon does not use automated individual decision-making. You also have the right to lodge a complaint with a data protection supervisory authority. If you want to exercise any of your rights or if you have any questions regarding the processing of your personal data, please contact us via the contact applicable to your country, which can be found under this link: Country-Specific Contact Information &#8211; Organon Privacy or via email: <a href=\"mailto:euprivacydpo@organon.com\">euprivacydpo@organon.com<\/a>.<\/p> <\/li> <li> <strong>Granting and Withdrawing Your Consent<\/strong><br> <p>You are not obligated to provide us with your personal data. Your consent for the processing of your personal data is voluntary. If you do not provide us with your personal data and with your consent for its processing, you will not encounter any negative consequences, but Organon will not be able to perform the processing listed above. If you have initially given your consent for the above-mentioned purposes, it may be withdrawn at any time, without any negative consequences for you. 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