OPT IN: I acknowledge that the SBS Healthcare Provider Locator is to provide a directory of HCPs that patients and caregivers can reference to find a list of HCPs who could potentially help manage short bowel syndrome (SBS).
I attest that I am a healthcare provider (M.D., D.O., NP, PA, or Dietitian or Nutritional Specialist) with an active license and I have sufficient knowledge, experience, expertise, qualifications, training or medical specialty necessary to manage SBS patients.
I consent to my name, professional data and business contact information being included in the SBS Healthcare Provider Locator for as long as Takeda shall use such information or until I expressly revoke my consent in a written instrument received by Takeda. I affirm that inclusion of the information provided above as part of my listing is consistent with all applicable institution policies and any obligations, contractual or otherwise, that I may have with the institution. I agree to allow Takeda to publish and share my information described above with other locator sites and patient advocacy organizations for the purpose of making the information available to patients and caregivers. Such sites and organizations may contact me for any further use.
I understand that the SBS Healthcare Provider Locator is not a referral instrument and that Takeda does not receive compensation for providing this service and does not endorse, preference or recommend any provider that is listed. Patients and caregivers will use their independent judgement when selecting an HCP. I further understand that Takeda disclaims all liability for any information included on the SBS Healthcare Provider Locator and agree to hold Takeda harmless with respect to any outcomes arising from listing on the SBS Healthcare Provider Locator. I acknowledge that I may opt out of inclusion on the SBS Healthcare Provider Locator at any time.