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By submitting the prescription form(s) and/or other document(s) to Vision Direct South East Asia Pte Ltd, I hereby consent to the collection, use and/or disclosure by Vision Direct South East Asia Pte Ltd of my personal data which may include medical or health data of a sensitive nature.

In addition to the purposes set out in Vision Direct Club’s Privacy Policy, I acknowledge and agree that the personal data which I have provided may be collected, used and/or disclosed by Vision Direct South East Asia Pte Ltd for or in connection with any of the following purposes:

1. to facilitate and/or complete any purchase(s) on this website;

2. to facilitate Vision Direct Club employee(s) to contact patient and invite patient in-store to do a complimentary eye health check if necessary to update Vision Direct South East Asia Pte Ltd health records.

3. to facilitate and/or complete any future purchase(s) on this website; and/or

4. to check and make enquiry with any relevant parties, including ophthalmic lens manufacturers, contact lens manufacturers, frame manufacturers, medical clinics and/or hospitals, for the purposes of facilitating and completing any purchase(s) on this website.

I acknowledge and agree that this Consent Form will be effective from the date that I submit the prescription form(s) and/or other document(s) to Vision Direct South East Asia Pte Ltd, and will remain effective until the date that I notify Vision Direct South East Asia Pte Ltd of my intention to withdraw my consent.*

*Please note that you have a right to withdraw your consent for the collection, use and/or disclosure of your personal data at any time. Simply refer to Vision Direct Club’s Privacy Policy which sets out the procedure to request for your personal data to be erased.