Bon Secours Tralee Believe in Benecol - Benecol HCP

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First Name:*

Last Name:*

Please tick this box to confirm that you are a healthcare professional*

Yes I am a healthcare professional

Profession:*

Workplace*

Email:*

Please note 'info' or 'admin' email addresses cannot be entered.

Date of Birth*

Telephone*

What is your LDL cholesterol level*

(Your LDL cholesterol level must be over 3.0 mmol/L to qualify for the programme)

Source: Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001 May 16;285(19):2486-97.

Food allergies (please list e.g.milk)

Benecol products

The programme couldn’t be simpler. Eat or drink Benecol products every day for three weeks, as part of a healthy balanced diet.
You need to eat 1.5 to 3g of plant stanols every day, with a meal, to see the benefits*

There are many products to choose from:
Benecol yogurts (1 x 120g pot / day = 2g plant stanols)
Benecol yogurt drinks (1 x 67.5g bottle / day = 2g plant stanols)
More information on our full product range, including allergens, is available on the Benecol Ireland website

Please select 2 product types/flavours that you would like to try

Planned 3 week programme start date

Delivery address for samples*

Delivery Eircode*

Best time to deliver samples*

Morning
Afternoon
Evening

Do you currently recommend plant stanols to your patients?*

Yes
No

What prevents you from recommending plant stanols to your patients?*

Lack of familiarity
Not convinced with their ability to reduce cholesterol
They are not a cost-effective option
I prefer drug treatments

Consent

By clicking submit you are confirming the following:

I confirm that I would benefit from lowering my cholesterol.

I confirm that I am not pregnant, breastfeeding and have not recently given birth in the last six months.

I confirm that I voluntarily agree to take part in the Believe in Benecol 3 week programme for the purposes of working to achieve a healthy cholesterol level by sampling the plant stanols found in Benecol products.

By taking part I accept that I will receive 3 weeks’ worth of Benecol products to support my participation in the programme.

In addition, I agree that Raisio Nutrition Ltd may register, keep and store information relevant to the proramme for as long as it is considered relevant, as assessed by Raisio Nutrition Ltd.

I do not object to Raisio Nutrition Ltd processing and/or storing my personal data as defined under the Data Protection Act 1998 for the purposes described in this Consent Form, related administrative purposes, and for research and statistical purposes. I understand that I am entitled to request a copy of some or all of my personal data held by Raisio Nutrition Ltd at any time upon written request to Raisio Nutrition Ltd, and that Raisio Nutrition Ltd may take reasonable steps to verify my identity before disclosing any such personal information.

I consent for Benecol team to contact me about the 3 week programme

I consent to the Privacy Statement

Access to your contact details will be limited and your contact information will not be shared with third parties and will be used for the sole purpose of contacting you about the Believe in Benecol 3 week programme. You may withdraw your consent at any time by contacting hcpsupport@raisio.com.

Additional Options

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I would like to sign up to receive health care professional specific email communication from Benecol. Benecol will provide you with relevant communications about events, education materials, products and services, some of which may be of a promotional nature

Your contact details and any additional information you may provide us with will be processed in accordance with our Privacy Policy which can be viewed at https://benecol.ie/privacy-policy.

If you subscribe to receive emails from Benecol, you can change your mind at any time by clicking the unsubscribe in the footer of any email you receive from us or by contacting us at hcpsupport@raisio.com. We use Mailchimp as our marketing platform. By clicking below to subscribe, you acknowledge that your information will be transferred to Mailchimp for processing. Learn more about Mailchimp’s privacy practices here: https://mailchimp.com/legal/.

Are you a healthcare professional?

Believe in Benecol: The 3 week cholesterol lowering programme.

Bon Secours Tralee. Believe in Benecol: The 3 week cholesterol lowering programme

Benecol products

Consent

Additional Options

Are you a healthcare professional?

Believe in Benecol: The 3 week cholesterol lowering programme.

Bon Secours Tralee. Believe in Benecol: The 3 week cholesterol lowering programme

Benecol products

Consent

Additional Options

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