Share Your TAVNEOS® (avacopan) Story

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Patient Authorization and Consents

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Consent to Health Data Collection & Processing for Marketing Purposes

I consent to Amgen collecting and processing my Health Data for the following purposes:

To conduct marketing activities, including market research activities, and to communicate with me regarding products and services that may be of interest to me.

Amgen uses the following for marketing purposes:

Health Data – my name, gender, date of birth, contact information and information relating to my health condition or treatment.

I understand that Amgen is seeking my consent to collect and process my Health Data to market products and services to me and that I do not have to give consent to the collection and processing of my Health Data for marketing purposes. I also understand that Amgen will not sell my Health Data to third parties. If I consent to the collection and processing of my Health Data for marketing purposes, I agree that Amgen may contact me for marketing purposes. Finally, I understand that I may withdraw my consent to the collection and processing of my Health Data for marketing purposes at any time using the method listed in the Additional Disclosures section below.

I consent to the collection and processing of my Health Data for marketing purposes I do not consent to the collection and processing of my Health Data for marketing purposes If you do not consent to the collection and processing of your health data for marketing purposes, you will not be able to receive marketing communications from Amgen. If you want to receive marketing communications from Amgen, select “I consent to the collection and processing of my Health Data for marketing purposes” If you do not consent to the collection and processing of your health data for marketing purposes, you will not be able to receive marketing communications from Amgen. If you want to receive marketing communications from Amgen, select “I consent to the collection and processing of my Health Data for marketing purposes”

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Consent to Health Data Disclosure for Marketing Purposes

I consent to Amgen disclosing my Health Data to its data processors, contractors, and business partners for the following purposes:

To conduct marketing activities, including market research activities, and to communicate with me regarding products and services that may be of interest to me.

If I provide my consent, Amgen will disclose the following for such purposes:

Health Data – my name, gender, date of birth, contact information and information relating to my health condition or treatment.

I understand that Amgen is seeking my consent to disclose my Health Data to its data processors, contractors, and business partners to market products and services to me and that I do not have to give consent to disclosure of my Health Data for marketing purposes. I also understand that Amgen will not sell my Health Data to third parties. Finally, I understand that I may withdraw my consent to the disclosure of my Health Data for marketing purposes at any time using the method listed in the Additional Disclosures section below.

I consent to the disclosure of my Health Data for marketing purposes I do not consent to the disclosure of my Health Data for marketing purposes If you do not consent to the disclosure of your health data for marketing purposes, you will not be able to receive marketing communications from Amgen. If you want to receive marketing communications from Amgen, select “I consent to the disclosure of my Health Data for marketing purposes” If you do not consent to the disclosure of your health data for marketing purposes, you will not be able to receive marketing communications from Amgen. If you want to receive marketing communications from Amgen, select “I consent to the disclosure of my Health Data for marketing purposes”

Additional Disclosures

I understand that receipt of marketing communications are optional services at no cost to me. The consent(s) above in no way affects my right to obtain any medications and I do not have to provide consent to be able to receive any medications. To obtain a copy of the consent(s) above or to withdraw my consent to collection, processing, and/or disclosure of my Health Data for any of the above purposes to which I have consented, I can contact Amgen by visiting www.amgen.com/DataSubjectRights. For more information about Amgen’s privacy practices, Amgen’s Privacy Statement can be found at http://www.amgen.com/privacy.

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IMPORTANT SAFETY INFORMATION

What is the most important information
I should know about TAVNEOS?

Do not take TAVNEOS if you are allergic to avacopan or any of the other ingredients in TAVNEOS.

Before taking TAVNEOS, tell your healthcare provider about all your medical conditions, including if you:

TAVNEOS may cause serious side effects, including:

What is TAVNEOS?

It is not known if TAVNEOS is safe and effective in children under the age of 18.

IMPORTANT SAFETY
INFORMATION
What is the most important information I should know about TAVNEOS?

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Patient Authorization and Consents

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Additional Disclosures

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IMPORTANT SAFETY INFORMATION

What is the most important information I should know about TAVNEOS?

Do not take TAVNEOS if you are allergic to avacopan or any of the other ingredients in TAVNEOS.

Before taking TAVNEOS, tell your healthcare provider about all your medical conditions, including if you:

TAVNEOS may cause serious side effects, including:

What is TAVNEOS?

It is not known if TAVNEOS is safe and effective in children under the age of 18.

IMPORTANT SAFETY INFORMATION What is the most important information I should know about TAVNEOS?

You are leaving the TAVNEOS^® website

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What is the most important information
I should know about TAVNEOS?

IMPORTANT SAFETY
INFORMATION
What is the most important information I should know about TAVNEOS?