Last Updated on May 11, 2021
- Information to be Used and Disclosed. I authorize the entities comprising the HeyDoctor Medical Group (as defined in GoodRx Terms of Use) and GoodRx Care, LLC (collectively, “GoodRx Care”) to use and disclose to affiliates of GoodRx Care, LLC, including GoodRx, Inc., (collectively, “Affiliates”) the information I provide and is collected during my interactions with GoodRx Care, including: name, date of birth, address, telephone number(s), e-mail address, medical information, prescription and prescription-related information, and pharmacy name and other contact information. If my medical information, prescriptions and/or prescription-related information disclose information regarding any sensitive medical conditions I may have, including but not limited to those related to mental health, substance use, HIV or other communicable diseases, developmental disabilities, and/or genetic conditions, I authorize that information to be used and disclosed pursuant to this Authorization.
- Purpose. The purpose of this Authorization is to permit GoodRx Care and Affiliates to use and disclose my information for the purposes of creating, maintaining, populating, providing services and communications related to GoodRx account(s), either directly or through third parties. I understand that GoodRx Care and/or Affiliates may receive direct or indirect compensation in relation to such use and disclosure. I understand that either GoodRx Care 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 care-legal@goodrx.com, 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 GoodRx Care 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 care-legal@goodrx.com.
- Expiration. This Authorization will remain in effect as long as I obtain services from GoodRx Care or until I revoke it, whichever occurs first.
By signing this Authorization or by checking the related box, I am authorizing the use and disclosure of all information as outlined above.