Updated as of June 25, 2025

We are committed to protecting your privacy and ensuring the security of your personal information. This consent form outlines how we collect, use, and protect your data. Personal Information We Collect: Name, Birthday, Age: Phone Number, Email Address

How We Use Your Information:

To communicate with you regarding vaccinations, and other
To improve our services and website functionality. products, and services.
To send promotional emails and updates (if opted in).
To process your orders and payments.
Data Protection: VAXCEN respects your right to privacy and confidentiality.

Our Privacy Policy values and protects your personal information under the Philippine Republic Act No. 10173 otherwise known as the Data Privacy Act (DPA) of 2012. This document tells you about our policy regarding the data that we collect, use, disclose, transfer, generate, store, and dispose, including your personal information. To ensure the implementation of DPA and in cooperation with the National Privacy Commission (NPC), any process performed upon your personal information by Vaxcen shall be in full compliance with the data privacy laws and regulations and to prevent legal and other operational risks. Your data is stored securely and accessed only by authorized personnel. We do not sell or share your information with third parties except where necessary for business operations or as required by law.

By submitting below, you consent to the collection, use, and processing of your personal information as described in this form. I have read the Data Privacy Policy and understand that my data is processed on a basis with my consent.

Patient Vaccination Consent

Patients acknowledge that:
They had been given such screening questionnaire for examination by the attending physician/nurse.
They have read, understood, and truthfully answered the Screening Questionnaire.
The attending physician/nurse has examined me and based on such examination explained my physical and medical condition, the proposed administration of such vaccine/s, and the risks of such administration.
They understand the risks of the administration of the vaccine, including the risks that are specific to me and the likely outcomes.
They were able to ask questions and raise concerns with the attending physician/nurse about my condition, the vaccination procedure, and its risks.
Their questions and concerns have been discussed and answered to my satisfaction.
They understand that the manufacturer and/or the distributor of the vaccine to be administered by the attending physician/nurse has no control, supervision, or relation to the attending physician/nurse.
They agree to such manufacturer and/ or distributor free and harmless for any claims, demands, or suits for damages from inquiry or complications resulting from the act, omission of the fault of the attending physician/ nurse in the performance of his/her professional duty prior and during the administration of the vaccine.

Based on the above statements, THEY REQUEST TO HAVE THE VACCINE BE ADMINISTERED TO ME BY THE ATTENDING PHYSICIAN / NURSE.

If you have any questions or concerns about this Privacy Policy or how we handle your personal information, please contact us at:
3rd Floor Fisher Mall
0917-580-3333
info@vaxcen.com