Consent Form to Register / Opt-In اإلشتراك / التسجيل على الموافقة نموذ

I provide consent to RxNow for the following actions

1. Use the information received on central.RxNow.ae to fulfil my prescription
2. To apply for insurance approval as appropriate
3. To deliver the items to me as appropriate
4. To contact me and my doctor as required for more information