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By providing the information set in this form, I consent to K W Ong Breast & General Surgery collecting, using and disclosing my personal data to provide me with medical treatment and other reasonably related purposes. I also consent to K W Ong Breast & General Surgery collecting, using and disclosing my personal data for marketing and promotional purposes. I understand that I may withdraw such consent at any time.

I agree to receiving marketing messages via SMS, telephone call and other Singapore phone number-based messaging, regardless of my registration with the Do-Not-Call registry.

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