*Note: You understand and consent that any information you choose to
provide will only be used by the Pregnancy Study Coordinating Center to
contact you and will not be shared for any other purpose with any other
third-party recipients.
Regarding the contact details provided in this form and the processing of
provided data, we will only contact you based on your preferred contact
method of contact selected above. By submitting this form (when clicking
the submit button below), you understand that your preferred method of
contact selection provides your consent for us to contact you in addition
to allowing us to collect your personal information that you provide to
us when submitting this form. You may opt-out at any time by contacting
us at Yorvipathpregnancy@ubc.com.
Please visit our Privacy Policy
for information about how you may opt-out of further communications from
us or wish to exercise any other privacy rights available to you. Our
Privacy Policy also provides you with information about the processing
of your personal information.
By submitting this form you agree to our
Terms of Use
and Privacy Policy.
After you submit your information, a representative from the Pregnancy
Study Coordinating Center will contact you via your preferred method
within 1 business day.
Thank you for completing this form. By providing your contact
information, you are giving permission for the Study Coordinating
Center to contact you to share more information about the study. This
permission to be contacted does not mean you are agreeing to take part
in the study. Participation is completely voluntary.