Calling Doctors and Pharmacists to help

We call on General practices and Pharmacies in areas where HFM/HFP is actively implementing its Hepatitis screening campaign to come forward to help conduct opportunistic screening on all patients and customers who walk into your clinic or pharmacy. HFM/HFP will provide all necessary training and screening test kits at no cost, and return all patients who are screen positive to you for further treatment.

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Please join our network of providers by filing out the sign up form!
Name of the provider's organization or clinic or pharmacy (as per registration)
Name of the Doctor/Physician or The Pharmacist or the Managing Director (as per IC)
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By selecting box below, I acknowledge that I agree to and am bound by the Hepatitis Free Pahang Volunteer Terms & Conditions.

  • I agree to participate in this Hepatitis Free campaign for Hepatitis Free Pahang Society (HFP) and hereby authorize HFP to use my name, and other details whether it be for print, broadcast or electronic media including, radio and television broadcasting and exhibition for this campaign purposes.
  • In case if I am providing any incorrect information or concealing/withholding any information from the HFP, including without limitation incorrect declaration of Information relating to this campaign, shall entitle HFP to disqualify my participation without any further intimation .
  • I understand that I will receive no monetary compensation for the rights granted herein. I understand that all ownership rights belong to HFP.
  • If by reason of my statements and actions on this campaign or materials furnished by me for the campaign, there is any claim or litigation involving any charge by third parties of violation or infringement of their rights, I agree to indemnify and hold harmless HFP from any liability, loss or expenses arising from such claim or litigation.
  • HFP shall not be responsible for any claims arising out of any failure(s) which is beyond the reasonable control of HFP. Without limiting the generality of the foregoing, HFP shall not be responsible for any claims arising out of technical failures before, during or after the completion of the Campaign
  • HFP reserve the right to extend, cancel, discontinue, prematurely withdraw, change, alter or modify this Campaign or any part thereof including the eligibility criteria, the Terms and Conditions and gratification at their sole discretion at any time HFP may use subcontractors or 3rd party vendors to execute certain tasks associated with this Campaign
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