Authorization for Use of Medical Information

Thyana Labs WILL NOT sell your name or contact information to any third party. Foremost, we respect and honor your privacy.

Occasionally, Thyana Labs may contact you about products and services that are relevant to you based on the health data findings. For example, if you receive lab test results that indicate an elevated glucose level, Thyana might send you an email about the benefits of a constant glucose monitor with a link to purchase - but we would not WOULD NOT disclose your name or contact info to the third party  offering this monitor.

In order for Thyana Labs to legally contact you about products and services that may be relevant and important for you, Thyana requires you to accept the form appearing below.

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(Effective 12/27/24)

I hereby authorize Thyana Labs and its affiliates (“Thyana”), to use my medical information for the purposes listed below. Failing to provide all information requested may invalidate this Authorization.

My authorization applies to the following types of information: all of my individually identifiable medical information as received by Thyana, including my name, birthdate, contact information (such as e-mail, address, phone number), demographic information, and any other information pertaining to my medical history, mental or physical condition, or treatment.

The purpose of this Authorization is to permit Thyana to: use the information listed above in connection with marketing, advertising, and promotional activities by Thyana regarding: (a) the release, availability, details, specifications, features, quality, performance, and/or price of one or more products, services, and/or opportunities offered by Thyana and/or a third-party; and/or (b) news, current events, research, history, and advances in science, health, wellness, nutrition, personal care, and/or technology that Thyana deems may be of interest to you.

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I agree that Thyana may contact me by SMS and text messages regarding marketing, advertising, and promotional activities, as described above, subject to the following terms and conditions.

  • I acknowledge that I can cancel the SMS service at any time by texting "STOP" to the short code; I understand that after I send an SMS message "STOP" to Thyana, Thyana will send me an SMS message to confirm that I have been unsubscribed, and I will no longer receive SMS messages from Thyana. If further understand that, if I want to receive SMS messages from Thyana again, I can sign up as I did the first time and Thyana will start sending me SMS messages again.

  • I acknowledge that, if I experience any issues with Thyana's messaging program, I can reply with the keyword HELP for more assistance, or I can get help directly at {support email address or toll-free number}.

  • I agree that Carriers are not liable for any delayed or undelivered messages.

  • I acknowledge and agree that message frequency varies. I further acknowledge and agree that message and data rates may apply for any messages sent to me from Thyana and to Thyana from me. I acknowledge that it is best to contact my wireless provider with any questions about my text plan or data plan.

  • I acknowledge that I have been advised to review Thyana's Privacy Policy regarding any questions concerning the privacy of my data and information.

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I understand that: 

  • Any use or disclosure carries the potential for unauthorized re-disclosure. Such redisclosure is in some cases not prohibited by state law and may no longer be protected.

  • I may revoke this Authorization at any time. My revocation must be in writing, signed by me or on my behalf, and delivered to Thyana at the address listed below.

  • My revocation will be effective upon receipt, but will not be effective to the extent that Thyana or others have acted in reliance upon this Authorization.

  • I have a right to receive a copy of this Authorization. I may inspect or obtain a copy of the medical information used or disclosed subject to this Authorization.


 
Unless otherwise revoked by me, this Authorization shall be effective for five (5) years from the date of my approval.


I have read and understand the above statements, and authorize the use of my medical information by Thyana Labs as identified in this Authorization.
 

For questions, please contact Thyana Labs:
Phone Number: 929 920 1922
Cristina@thyanalabs.com