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AbbVie Parkinson's Disease Advocates* provide you with the personalized support you need. They'll share Parkinson's tips and valuable information to help you have an effective conversation with your doctor. Once you've filled out the form below, your Advocate will contact you by phone or email to set-up your first conversation.
Please fill out the form below to register. Required fields are noted with an asterisk*
I understand that this authorization is voluntary, and that all of the information that I provide will be protected according to applicable data protection standards. I understand that third-parties that support this program (including the Advocates) will have access to my information; however, my information will not be sold to any third-party for any purpose. I understand that my information will be used to interact with me by telephone, email and/or face-to-face and may be aggregated and analyzed to learn more about the benefits of this program and how AbbVie may improve its service or create additional service offerings. I understand that this authorization will remain in effect for 10 years or as long as I am a participant of this program from the date of my signature, unless I cancel earlier. I understand that if I cancel this authorization, I will no longer be able to participate in the Partners in Parkinson’s Program. However, I cannot cancel previous actions conducted by AbbVie with my information. I also understand that the Partners in Parkinson’s Program can be changed or terminated at any time, without prior notification.
I agree to the aforementioned statements, and that I am currently 18 years of age or older.