This information is being collected by Pharming Healthcare, Inc. for use by it and its agents. Your information will be used for the purpose of registering you for the program and communicating with you and your doctor about APDS, APDS products, clinical trials and related topics that may be of interest. By submitting this registration form, you are consenting to the collection and use of your information for these purposes. We will not sell your personal information. Please review our Privacy Policy and an explanation of your privacy rights by clicking
https://www.pharming.com/privacy-statement.
I hereby give consent to Pharming Healthcare, Inc., its affiliates and agents to use my health information that is not individually identifiable (anonymous) to help better understand the clinical history of patients with APDS, including to assist in the identification of other patients who may have APDS.