Authorization for Use and Disclosure of Personal Information
This authorization allows our partner healthcare consultants and laboratories to share certain personal information, described below, including results of test(s) that you order, with us.
This authorization applies to the use and disclosure of the following information about me: all information in request(s) submitted by me or for me with my consent and the laboratory test values/results/information which are the result of such request(s).
I hereby authorize the transfer and release of this information to the following individuals/organizations and their representatives, affiliates, staff, agents, and designees: (a) Company; (b) applicable Health Consultants and Labs; (c) the web services controlled and/or provided by the parties and the Company, and (d) other Company partners for the purposes herein and as required or permitted by law.
I hereby acknowledge that my assigned Health Consultant is not acting as my healthcare provider to provide medical services.
The information subject to this authorization may be used or disclosed for the following purposes: (a) to facilitate and execute the services requested by me or performed with my consent (including receiving, reviewing, and approving test requests and reviewing, processing, and delivering the test values/results); (b) to conduct statistical research studies using de-identified test results; and (c) as required or permitted under applicable state and federal laws. I may opt to not have my personal information used or disclosed for some of the purposes above. In order to opt-out, I must provide written notice to the Company as set forth below. I understand that such opt-out may affect the services I have voluntarily elected to receive.
This authorization is evidence of my informed decision to allow the release of my information to the parties referenced above. This authorization is effective immediately upon sending in my sample or electronically accepting the authorization page, and will expire five (5) years after the date of this authorization. Upon my written request, I may inspect or copy the information that I have permitted to be used or disclosed, as permitted by law.
I understand that the information used or disclosed pursuant to this authorization may be subject to re-disclosure by the recipient and would then no longer be protected by federal privacy regulations.
I may revoke this authorization in writing at any time. I understand that my revocation will not affect any use or disclosure already taken in reliance upon this authorization. My written revocation must be submitted to Company using the contact information below.
Written revocation of this authorization must be sent to:
STAT Medical LLC
C/O Frederick J. Berger, Registered Agent
7700 Bonhomme Ave, 7th Fl.
St. Louis, MO 63105
You may also email firstname.lastname@example.org your indication to revoke this Authorization & Consent. STAT will notify all 3rd parties within 72 hours that have access to the personal information that the authorization has been rescinded.
I understand that this authorization may be accepted by someone legally authorized to represent me.
Informational Purposes Only
The test results and any follow-up are for personal use and informational purposes only, and do not constitute treatment or the diagnosis of any condition, disease or illness. As with any test, there is a potential for a false positive or false negative result.
Follow up with my physician
You are solely responsible for forwarding your test results to your primary care or other personal physician and for initiating with your physician any care, diagnosis, medical treatment or to obtain an interpretation of the laboratory test results.
BY CLICKING ON THE “I HAVE READ AND ACCEPT THE AUTHORIZATION FOR RELEASE OF PERSONAL INFORMATION” BUTTON ON THE ACCOUNT CREATION PAGE ON THE STATMEDICALLLC.COM WEBSITE AND/OR BY SENDING IN MY SAMPLE, I INDICATE THAT I HAVE READ THE CONTENTS OF THIS AUTHORIZATION FOR RELEASE AND I HEREBY AUTHORIZE MY DESIGNATED HEALTHCARE CONSULTANT AND THE TESTING LABORATORIES, INCLUDING THEIR STAFF AND DESIGNEES (“LABS”) THAT PERFORM SERVICES REQUESTED BY OR CONSENTED TO BY ME, WHICH HAVE A RELATIONSHIP WITH STAT MEDICAL LLC (“COMPANY”), TO USE AND DISCLOSE PERSONAL INFORMATION ABOUT ME IN THE MANNER AND FOR THE PURPOSES STATED BELOW.
Effective Date: December 2021
The protection and security of your personal data are important to Stat Medical. This Privacy Statement tells you how we collect, use, share, and protect your personal data, and together with the website Terms and Conditions, applies to your use of www.StatMedicalllc.com (Website).
Our Website is operated by STAT Medical LLC, who is the controller of your personal data processed via this Website.
You are not required to provide any personal data as a condition of using our Website. Where you submit personal data to us, Stat Medical will process your personal data for the following purposes:
When you communicate with us via our Website or request a product or service, the types of information we may collect from you include: your name, gender, date of birth, address, contact details including your email address, language preference and details of your communication or request.
Where you request a product or service from us, complete an online registration or web form or contact us with an enquiry or request, you may choose to provide us with your health-related information in order for us to respond to your communication or request, or to help us provide customer service tailored to your needs. This health-related information may include: the particular analytes in your blood, therapy, treatment, details of your specific laboratory test you ordered.
We will ask you for your explicit consent to the processing of your health-related information as described in this Privacy Statement, which you can withdraw at any time by contacting us at: privacy@StatMedicalllc.com.
To enable us to perform the contract entered into between you and us and for our legitimate business interests including for statistical purposes, we may process your personal data:
For our legitimate business purposes relating to direct marketing, and where required, on the basis of your consent, we may process your personal data:
In order to comply with local legal and regulatory requirements, we may process your personal data:
For reasons of public interest in the area of public health relating to medical devices, to conduct scientific research and/or for our legitimate business purposes, we may use and disclose to third party researchers statistical, aggregated, anonymized or de-identified/pseudonymized information (this is information with which Stat Medical will remove personal identifiers such as name and email address) for the purposes of:
On the basis of your consent, we may process your health-related information (as outlined under “Your Health-Related Information” section above) to enable us to respond to an enquiry or other request you make when you contact us via our Website or to help us understand your needs so that we can better meet your assist you, including in connection with your use of our Contour Diabetes App.
We may contact you to tell you about products and services that we feel may be of interest to you or that are similar to those that you have already purchased or enquired about.
You may be contacted by us, Stat Medical LLC, a distributor of Stat Medical products, or by one of our selected partners, in each case where you have consented to receive these communications.
You may opt out of receiving our marketing communications at any time by contacting us at privacy@StatMedicalllc.com or by using the unsubscribe link in any of our communications.
We will continue to contact you for non-marketing related purposes where we need to issue a field corrective or safety notice, or to where we need to send certain information to you under a legal, regulatory, or ethical requirement.
We do not rent or sell your personal data to anyone. Stat Medical may share your information with:
We may also disclose your personal data where required to respond to authorized requests from government authorities or where required by law, including for national security. Where we are required by law, we may also disclose your personal data where it is necessary to enforce or apply our Website Terms and Conditions, this Privacy Statement or other agreements, to investigate or protect the rights, property or safety of Stat Medical and our group companies, our products and services and our customers, distributors or business partners or to prevent or take action regarding illegal activities or fraud, situations involving potential threats to the safety of any person or as evidence in litigation. Your personal data may be subject to foreign laws and may be accessible by foreign governments, courts, law enforcement and regulatory agencies.
Stat Medical will store your information for as long as we have to by law, and where there is no legal requirement, we will only store it for as long as necessary to fulfill the purposes for which it was collected as described in this Privacy Statement. To determine the appropriate period for storing personal data, we consider the amount, nature, and sensitivity of the personal data, the potential risk of harm from unauthorized use or disclosure of your personal data, the purposes for which we process your personal data and whether we can achieve those purposes through other means, and the applicable legal requirements.
Stat Medical implements appropriate administrative, technical and physical safeguards to protect the confidentiality, integrity and availability of your personal data. We will use strict procedures and security features, including cryptographic techniques, and take all steps reasonably necessary to ensure your personal data is processed securely and in accordance with this Privacy Statement.
Please note that the transmission of information via the internet is not completely secure. Although Stat Medical will do its best to protect your personal data, we cannot guarantee the security of your information transmitted via our Website and any transmission is at your own risk.
We use the following cookies on our Website:
Some of these are persistent cookies that may be used if you log on to restricted areas of our Website to remember who you are. Others are session cookies that may be used for anonymous identification of a website visit for technical purposes only. Session cookies are stored only temporarily during the browsing sessions and are deleted once the browser is closed.
We use Google Analytics cookies to collect information and compile reports about how visitors use our Website, and we use this information to help us improve our Website. Google Analytics mainly uses first-party cookies which are not shared across different websites that you visit. The information that the cookies collect is mostly anonymous and includes the number of visitors to the Website, where those visitors originate from and how many times they have visited the Website. Google has published information in relation to Privacy and safeguarding data.
Google Analytics will collect your IP address, which is a unique code assigned to every computer and device connected to the Internet. IP addresses are usually assigned in geographic blocks and may allow website operators to identify the country, state and city in which the computer or device is based. We may collect either the full or a portion of an IP addresses to help us identify the location of our website visitors. Google Analytics will also collect demographic and interests information, including age and gender, where available in the cookie.
Google Analytics also uses third-party cookies (such as the DoubleClick cookie) on websites where Google Analytics Advertising Features are used, such as Remarketing or AdWords. Our use of Google Analytics’ Remarketing feature allows targeted and relevant advertising to be delivered to you when you browse elsewhere on the internet. This feature can also work cross-device where you have a Google account and you have chosen to enable Google to associate your web browsing history with your account and to use information from your account to personalize advertising you see across the internet. When you’re signed-in to your Google account, Google will use your data together with the analytics data they obtain by the third-party cookies on our Website to serve better advertising on other websites you visit and based on your past browsing habits. In order to support this feature, Google will collect user’s Google-authenticated identifiers.
More information in relation to these advertising cookies can be found at here. You may opt-out of these features by visiting Google’s Ads Settings.
You may refuse to accept cookies by altering the settings on your internet browser (for example Internet Explorer, Chrome and Firefox). Please note that if you choose not to permit cookies some areas of our Website may not function properly or be accessible.
In general, by consulting the help menu item in your internet browser, instructions on how to disable or delete cookies is available. Most browsers are set-up to accept these cookies automatically. In addition, you can deactivate the storing of cookies or adjust your browser to inform you before the cookie is stored on your computer. You may also use self-regulation programs available in your jurisdiction to manage the way that companies other than Google advertise to you, such as the EU-based Your Online Choices.
Please note though, that if you delete your cookies:
We will not collect or use via our Website any personal data of anyone we know to be under 16 years old without the prior affirmative, verifiable consent of his or her parent/guardian. A parent/guardian has the right, upon request, to view the information provided by their child and/or to require that it be deleted. If we discover that a child has provided us with personal data online through our Website, we will take reasonable steps to delete this data. If you are a parent/guardian with any concerns regarding your child’s personal data in connection with our Website, please contact Stat Medical at privacy@StatMedicalllc.com.
Our Website may contain links to other third-party websites that are not governed by this Privacy Statement. Although we endeavor to link only to websites with high privacy standards, this Privacy Statement will no longer apply once you leave our Website.
Links to other websites are provided for information only and do not constitute endorsements of those other websites. Stat Medical and/or its affiliated companies are not responsible for the content of links or third-party websites and do not make any representation regarding their content or accuracy. Your use of third-party websites is at your own risk.
Any changes we make to our Privacy Statement in the future will be posted on this page and, where appropriate, notified to you by e-mail. Please check back frequently to see any updates or changes to our Privacy Statement.
Questions, comments and requests regarding this Privacy Statement are welcomed and should be addressed to privacy@StatMedicalllc.com. If you contact us, we will do our utmost to address any concerns you may have about our processing of your personal data.