HIPAA Authorization
HIPAA Authorization for Use and Disclosure of Information
Last Updated on October 2, 2025
Information to be Used and Disclosed
In connection with the telehealth services (the "Services") I am receiving, I authorize VirtualCare Medical Group, P.A., and its affiliated provider and medical groups, affiliated management services organizations (e.g., Fabric Labs, Inc.), engaged subcontractors, and service providers (collectively, the "VirtualCare Medical Group" or "Provider Group") to use and disclose to its affiliates, service providers (including, for example, data analytics vendors that may assist in tracking activity across our sites and applications, and/or collecting information from users of our sites and applications), and other third parties the information collected about me by the Services.
This information may include, but is not limited to: name, date of birth, address, telephone number(s), e-mail address, medical information, prescription and prescription-related information, pharmacy name, internet/electronic activity, device information, usage information, commercial information (e.g., payment and account information), and other contact information, for the purposes enumerated below. Some sensitive information as defined under applicable law (e.g., HIV status, genetic information, psychotherapy notes, or STI status) will not be used or disclosed without my separate written authorization.
Purpose
As permitted by applicable law, the purpose of this Authorization is to:
- Permit Provider Group to use and disclose my registration and transactional information for marketing purposes, including contacting me at my contact information saved in my profile to provide me with marketing and promotional messages about Provider Group products and services, including but not limited to prescription pricing, coupons, savings offers, refill reminders, and marketing and promotional messages about other pharmacy, pharmaceutical, medical, or laboratory services, either provided directly by Provider Group or by companies that may otherwise partner with Provider Group. I understand that Provider Group may receive direct or indirect compensation in relation to such marketing.
- Permit Provider Group to use and disclose my information to help provide, personalize, and contextualize services provided to me and to provide me with relevant content based on how I interact with Provider Group services, which may include marketing, advertising, and other analytics and operations related to advertising and marketing.
- Permit Provider Group to use and disclose my information for its business operations, including to provide, change, market, or optimize services and products, to perform analytics, and to create new services and products.
- Permit Provider Group to otherwise use and disclose my information in accordance with its Privacy Policy, available here: https://muscvirtualcare.zipnosis.com/privacy.
Your Rights
I understand that this Authorization is voluntary. I may revoke this Authorization in full or in part by sending a request to support@fabrichealth.com, except to the extent that action has already 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 Provider Group or its service providers and may no longer be protected by certain applicable privacy laws.
I understand that Provider Group will not condition treatment, payment, enrollment, or eligibility for benefits on my execution of this Authorization. I also 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 of this Authorization at any time by sending a request to support@fabrichealth.com.
Expiration
This Authorization will remain in effect until I revoke it.
By checking the related box, I am authorizing the use and disclosure of my information as outlined in the [HIPAA Authorization].