Cardiovascular Risk Assessment & Management Initiative

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[tcb-script src=””][/tcb-script]Select refresher option*YesNo  I certify that I am a healthcare professional.  By signing up in this form, I understand and acknowledge that I may be disclosing personal information which would be collected, processed and stored in an automated managed member data base system and/or in the member data base system of its affiliates or authorized third parties, and which shall be used and administered solely by the Philippine Society of Hypertension for the program ONE CAVITE under the CV Risk Assessment and Management Initiative, and it’s said affiliate companies and authorized third parties in connection with the implementation and enhancements of this digital resource. I give my consent to PSH and its directors, officers, employees, advisers, agents and representatives’ (a) collection, processing, storage and use of personal information; and (b) outsourcing of the collection, processing, storage and use of personal information to service providers whether within or outside the Philippines. The foregoing constitutes my express consent under the applicable confidentiality and data privacy law of the Philippines and other jurisdictions and agree to hold PSH and relevant parties free and harmless from any and all liabilities, claims, damages and suits of whatever kind and nature that may arise in connection with the implementation and compliance with the authorization I confer hereunder. The foregoing is without prejudice to my rights to reasonable access to, upon demand, and correction of my personal information, as well as my right to lodge a complaint before the National Privacy Commission, under Section 16 of the Data Privacy Act.I likewise agree that the information referred to in this section may be disclosed to any of PSH-authorized affiliates and third parties for any purposes that may include implementation and improvement of the program. For these purposes, PSH and its authorized affiliates or authorized third parties shall store personal information, as defined under Section 3 (g) of the Data Privacy Act, for the duration of my registration and use of this digital initiative.We’re processing your registration. Please wait…[tcb-script type=”text/javascript”]$(document).ready(function() {$(“.submitForm”).on(‘click’, function() {$(this).prop(‘disabled’, true);$(this).css(‘opacity’, 0.5);$(“.virnew-form-validation”).html(“”);if($(“[name=firstname]”).val() == “” || $(“[name=lastname]”).val() == “” || $(“[name=email]”).val() == “” || $(“[name=mobile]”).val() == “” || $(“[name=prc_number]”).val() == “” || $(“[name=institution]”).val() == “” || $(“[name=refresher]”).val() == “”) {$(this).prop(‘disabled’, false);$(“.virnew-form-validation”).html(“Please complete all the required fields to register.”);$(this).css(‘opacity’, 1);return false;}if($(“[name=refresher]”).val() == “Select refresher option*”) {$(this).prop(‘disabled’, false);$(“.virnew-form-validation”).html(“Please select a refresher option.”);$(this).css(‘opacity’, 1);return false;}if($(“[name=is_healthcare_pro]”).is(“:checked”) == false) {$(this).prop(‘disabled’, false);$(“.virnew-form-validation”).html(“You have to be a healthcare professional to register.”);$(this).css(‘opacity’, 1);return false;}if($(“[name=privacy_notice]”).is(“:checked”) == false) {$(this).prop(‘disabled’, false);$(“.virnew-form-validation”).html(“Please agree to the privacy terms to register.”);$(this).css(‘opacity’, 1);return false;}$(“.info”).css(‘display’, ‘block’);$.ajax({type: “POST”,url: “”,data: {action: “onecavite”,k: “iGBLE2rS9velxwvDSQI2”,event_page: “cardio-risk-assessment”,firstname: $(“[name=firstname]”).val(),lastname: $(“[name=lastname]”).val(),email: $(“[name=email]”).val(),mobile: $(“[name=mobile]”).val(),prc_number: $(“[name=prc_number]”).val(),institution: $(“[name=institution]”).val(),privacy_notice: $(“[name=privacy_notice]”).val(),is_healthcare_pro: $(“[name=is_healthcare_pro]”).val(),refresher: $(“[name=refresher]”).val(),ref: $(“[name=ref]”).val()},success: function(r) {$(“.submitForm”).css(‘opacity’, 1);if(r == “Something went wrong.” || r == “Please enter a valid email.” || r == “You are already registered for this event.”) {$(“.submitForm”).prop(‘disabled’, false);$(“.virnew-form-validation”).html(r);$(“.info”).css(‘display’, ‘none’);return false;}else {window.location.href = “” + r;return true;}},dataType: “html”});});});[/tcb-script]

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