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Acknowledgement, Agreement and Consent

The personal data obtained from the patient will be further processed or disclosed to the third parties as required or permitted by law. Pursuant to Section 7 of Personal Data Protection Act (PDPA) 2010, a copy of the written notice which includes the purpose for which the Patient's personal data and sensitive personal data is collected/processed and classes of third-party to whom HSC Medical Center will/may disclose the Patient's personal data to is available upon request, or please log onto our website at to view it online.

I/we hereby give consent to HSC Medical Center to collect or process the Patient's personal data and sensitive data (including health information and religious beliefs) in accordance with the written notice. I hereby undertake that the information provided here is true and correct.