TERMS and CONDITIONS

By clicking on the Submit button below, you agree that the information you submit to this website is governed by our Privacy Policy

I understand that by completing this registration process and by interacting with this website I am providing information that may be deemed personally identifiable information ("PII"). I authorize Auxilium Pharmaceuticals, Inc. ("Auxilium") to use my PII and to disclose my PII to its affiliated companies and contractors (collectively, "Affiliates and Contractors") on a need-to-know basis for purposes of administering this and other educational and promotional programs offered by Auxilium that are related to Testim. I understand that Auxilium and its Affiliates and Contractors value my privacy. As such, Auxilium and its Affiliates and Contractors will take responsible and appropriate measures to protect the information provided on this form from inappropriate disclosure. However, I also understand that this authorization permits Auxilium and its Affiliates and Contractors to share my personally identifiable information with other individuals/entities that may not be bound ethically or by any privacy laws and that, once in their possession, my information could be used or redisclosed for any purpose. I understand that I may revoke this authorization, in writing, at any time by sending a written notice of revocation to Auxilium, Attn: Testim Product Manager, 40 Valley Stream Parkway, Malvern, PA 19355. I understand that only a written revocation addressed to such person will constitute an effective withdrawal of my authorization as this program has no expiration, and that any such revocation will not be effective with respect to disclosures made by Auxilium or its Affiliates or Contractors prior to receipt of the revocation by Auxilium.

LIABILITY DISCLAIMER

Please Note: Testim.com provides the Prescription Refill E-mail Reminders as a complimentary service to you. Your health is important to us, so please understand that due to various technical issues, Testim.com cannot guarantee the delivery of Prescription Refill E-mail Reminders. Therefore, this service should not serve as the only reminder to refill your prescription.