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emotional health while living with previously treated multiple myeloma.

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Please select the option that best applies. I am a patient who has been prescribed SARCLISA. I am a patient who is interested in treatment with SARCLISA. I care for a patient who has been prescribed SARCLISA. I care for a patient who is interested in treatment with SARCLISA.

By checking this box and providing my personal information, I consent that Sanofi, its affiliates, and agents (such as third-party business partners) may collect and use my information for the following purposes: 1) send me information about multiple myeloma and Sanofi products, promotions, services, and research studies; and 2) use my de-identified information to perform research education, business analytics, marketing studies and other commercial activities.

I further certify that I am eighteen (18) years or older and am a resident of the United States. I authorize Sanofi, and its affiliates and agents, to contact me by mail, e-mail, fax, and/or telephone, including calls made at the telephone number(s) provided to supply me with the information I requested and other related information, or other topics of interest. I understand that I am not required to consent as a condition of purchasing any property, goods, or services from Sanofi and may opt out of continued receipt of such communications at any time.

(Optional) I acknowledge that by checking the Text Messaging Consent box, I expressly consent to receive text messages from or on behalf of Sanofi at the mobile telephone number(s) that I provide. I confirm that I am the subscriber for the mobile telephone number(s) provided, and I agree to notify Sanofi promptly if any of my number(s) change in the future. I understand that my wireless service provider’s message and data rates may apply. I understand that I can opt out of future text messages at any time by texting STOP from my mobile phone. I also understand that additional text messaging terms and conditions may be provided to me in the future as part of an opt-in confirmation text message. Message and data rates may apply.

You may have certain rights under applicable data privacy laws regarding the personal information that you provide, including the right to withdraw consent from future collection or sharing of your information. For further information regarding these rights, please reference Sanofi US Privacy Policies and Health Data Privacy Policy Center (sanofi.us).