To complete enrollment, your PATIENT must read the Privacy Statement and Enrollment Information below, and your PATIENT must then check the box below to indicate agreement with privacy statement and consent to enroll and click "Submit".
Privacy is important to Hollister Limited (Hollister). Hollister will not sell, rent, disclose or distribute any personal information without your consent except as permitted or required by law. Personal information collected by Hollister (information that can identify you such as your name, address, telephone number, gender, age, and personal health information) may be used by Hollister and its affiliates and business partners such as clinicians on behalf of Hollister for the provision of Hollister products, service (including participation in Hollister Secure Start Service and general customer service), and for marketing and data collection and management purposes. Hollister uses reasonable contractual or other means to require its business partners to protect personal information to a level comparable to that provided by Hollister. Hollister and its affiliates and business partners will keep your personal information private, confidential and secure and in accordance with all applicable federal and provincial privacy legislation. Your personal information may be collected, processed and stored by Hollister, it's affliates or business partners in the United States of America (US), where it will be subject to US laws which may require disclosure of your personal information to the US government authorities. If you do not wish to be contacted or do not wish to receive information from Hollister, you can opt out by mail, email
Hollister Secure Start services are designed to support people as they live their lives with ostomy or bladder management issues. These services are free of charge, and there is no obligation to purchase anything to receive them. Product samples are provided for trial use by the patient and cannot be resold or billed. There is no obligation to accept samples or participate in insurance-matching to identify supplier options. Hollister reserves the right to change Secure Start services at any time.