PRIVACY NOTICE

The information requested on this form may be used by Medical Developments International Limited (MDI) and its affiliated companies (ABN 14 106 340 667) to provide further Penthrox communications. We may disclose personal information to third parties including regulatory authorities, licencees and contractors engaged to provide services to MDI. Some of these entities may be located outside of Australia. To the extent that you may be entitled to do so under the Privacy Act 1988 (Cth) and any other applicable laws, you may request access to, or correction of, your personal information held by MDI by writing to Medical Developments International, 4 Caribbean Drive, Scoresby, VIC 3179, Australia.