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By providing my personal information and registering, I authorize Sanofi US, its affiliates, and their contracted service providers (collectively “Sanofi”) to:

• Provide me with additional information about diabetes, Sanofi products and health conditions, promotions, services, and to ask my opinion about such information and topics, including through market research and related surveys; 
• If available and upon my request (either separately or through this registration), enroll me in a support program for which I may be eligible, which may include additional communications as described in the program;
• Contact me for follow-up on any adverse event I may report regarding a Sanofi product;
• Use my personal information, which may include personal health information, as described herein, and to contact me through periodic or recurring mail or emails, including any registration confirmation emails; 
• Combine my personal information with information about me from third parties to better match the communications or materials with my interests;
• De-identify my personal information and use it in performing research, education, business analytics, marketing studies or for other commercial purposes; and
• Share my personal information within the Sanofi parties above in order to de-identify it for the purposes described above and as needed to provide any services or communications.

I agree to allow Sanofi to use my personal information for the purposes described above. In addition:

• I confirm that I am the authorized user for the email address provided and I agree to notify Sanofi promptly if the mail or email addresses change in the future;
• I understand that once my health information is provided to Sanofi, federal privacy laws may not protect it from further disclosures; 
• I understand that Sanofi agrees to protect my health information by using and disclosing it only for the purposes allowed by me in this Registration Authorization or as otherwise allowed by law, and Sanofi will not sell or rent my information to unauthorized parties or mailing lists; 
• I understand that I am not required to register or provide my information and it will not impact my ability to get health care, including any Sanofi medications prescribed by my physician; however, it will impact my ability to receive communications, or receive support through a program;
• I also understand that if I register, I may opt-out of receiving communications at any time by notifying Sanofi by telephone at 1-800-633-1610, by sending a letter to Sanofi US, 55 Corporate Drive, PO Box 5925, Mailstop 55A-220A, Bridgewater, NJ 08807, or by clicking Unsubscribe;
• I agree that I reviewed the Legal Disclaimer and Privacy Policy, which may be revised periodically, at http://www.privacypolicy.sanofi-aventis.us/; and
• I understand that I may retain a copy of this Registration Authorization by taking a screenshot.

Once you have read this in its entirety, please close this window and check the box if you agree to this Registration Authorization and you wish to continue.