I authorize Amgen and its contractors (“Amgen”) to use and/or disclose my personal information, including
my personal health information, for the following purposes:
- to enroll me in and/or continue my participation in Amgen's XGEVA® Updates and
- to provide me with informational and marketing materials relating to Amgen products and
services, and/or my condition or treatment;
- to improve, develop, evaluate and continue products, services, materials and programs related
to my condition or treatment.
I understand that I may be contacted by mail, email, and/or telephone for any of these purposes. I further
understand that the XGEVA® News Updates and additional informational and marketing
communications are optional and free services. I do not have to sign this authorization and this
authorization in no way affects my right to obtain any medications. To obtain a copy of this
authorization or to cancel at any time, I can contact Amgen by calling 1-866-822-4832 or by writing to
Amgen 1 Amgen Center Drive, Thousand Oaks, CA 91320, mail stop: 27-2A. The Amgen Privacy Statement can
be found at http://wwwext.amgen.com/privacy-statement.