Authorization for Use and Disclosure of Information
Last Updated on July 2, 2020
- Purpose. The purpose of this Authorization is to: (a) permit HeyDoctor and Affiliates to use and disclose my information for marketing purposes, including contacting me at my contact information saved in my profile to provide me with marketing and promotional messages about Affiliates’ products and services, including but not limited to, prescription pricing and coupons, savings offers, refill reminders, and marketing and promotional messages about other pharmacy, pharmaceutical, medical, or laboratory services, either provided directly by Affiliates or by companies that may otherwise partner with Affiliates and/or HeyDoctor, and (b) inform you that HeyDoctor and/or Affiliates may receive direct or indirect compensation in relation to such marketing. I understand that either HeyDoctor and/or Affiliates may contact me using my contact information for these purposes.
- Your Rights. I understand that this Authorization is voluntary. I may revoke this Authorization by sending a request to firstname.lastname@example.org, except to the extent that action has been taken in reliance upon my Authorization. I understand that information used or disclosed as a result of this Authorization may be subject to re-disclosure by Affiliates and may no longer be protected by applicable privacy laws. I understand that HeyDoctor may not condition treatment, payment, enrollment or eligibility for benefits on your execution of this Authorization. I understand that if I agree to this Authorization by checking the related box, which I am not required to do, I can obtain a copy at any time by sending a request to email@example.com.
- Expiration. This Authorization will remain in effect as long as I obtain services from HeyDoctor or until I revoke it, whichever occurs first.
By signing this Authorization by checking the related box, I am authorizing the use and disclosure of all information as outlined above.