I hereby agree that the personal data I have given will be stored safely in accordance with HIPPA using encrypted software. My information will only seen by a licensed professional assigned to my case, and never sold or shared with any other entity for any other purpose. My information will be processed for the purpose of establishing contact by a broker licensed in my area. Transparent Broker Services and all affiliates and partners agree that contact will be established only for the purpose of assisting with this request, and made by myself or by my legally appointed guardian or advocate. In the special interest of transparency, other forms on consent may be requested if I should choose to procure services which go beyond my original request, for example looking at insurance plans or products. This way I know I will never be solicited or pressured into a discussion regarding a product or service which I do not wish to discuss. I am aware that consent to contact must be renewed yearly and that I can revoke my consent at any time either in writing or by phone call or text message.*