Authorization for Use and Disclosure of Medical Information

Ajovia by Ajeris Inc.

Last Updated: September 1, 2025

Effective Date: September 1, 2025

Why Are You Being Asked to Provide This Authorization?

At Ajovia, we want to ensure you understand how the personal health information you entrust to us may be used. As we continuously improve our services and develop new ways to support your health journey, Ajeris Inc. (the company behind Ajovia) may occasionally want to contact you about products, services, and health insights that we believe are relevant to you based on your test results and health profile.

For example, if your lab results indicate low vitamin D levels, we might inform you about the benefits of vitamin D supplementation with recommendations for specific products. Or if your MRI scan and blood work suggest cardiovascular risk factors, we might share information about heart health monitoring devices or nutritional programs.

This Authorization is optional. If you choose not to sign this Authorization, we will still provide all Ajovia services to you exactly as described in our Terms of Service. This Authorization only affects whether we can use your health information for additional communications about health-related products and services.

Authorization

I authorize Ajeris Inc., operating the Ajovia platform, to use and disclose my medical information for the purposes described below.

What Medical Information Is Covered?

This Authorization applies to all individually identifiable medical information that Ajovia collects, receives, or processes, including but not limited to:

  • Demographic Information: Name, date of birth, contact information (email, phone, address)
  • Laboratory Test Results: All biomarker data, blood test results, and related measurements from Quest Diagnostics or other lab partners
  • Imaging Results: MRI scans, radiologist reports, and other imaging studies from partner imaging centers
  • Health Assessments: Questionnaire responses, health history, lifestyle factors, family medical history
  • Biometric Data: Biological age calculations, health scores, risk assessments
  • AI-Generated Insights: Personalized health recommendations, trend analyses, predictive health modeling
  • Progress Data: Changes in health markers over time, goal achievement, improvement metrics

What Is the Purpose of This Authorization?

I understand and authorize Ajeris Inc. to use the medical information described above for the following purposes:

1. Personalized Health Communications

  • Sending targeted health recommendations based on my specific test results
  • Providing educational content relevant to my health conditions or risk factors
  • Alerting me to new tests or services that may benefit my specific health profile

2. Product and Service Recommendations

  • Informing me about health products (supplements, devices, tools) relevant to my results
  • Recommending partner services (nutrition programs, fitness plans, health coaching)
  • Notifying me about Ajovia service upgrades or add-ons suited to my needs

3. Research and Development

  • Using my de-identified data to improve AI algorithms and health insights
  • Developing new features and services based on member health patterns
  • Conducting health outcomes research (with additional specific consent if identified data is needed)

4. Partner Opportunities

  • Connecting me with specialized healthcare providers for conditions detected in my results
  • Informing me about clinical trials or research studies I may qualify for
  • Sharing relevant wellness program offerings from employer or insurance partners

Who May Receive My Information?

I understand that my medical information may be shared with:

  • Ajeris Inc. Affiliates: Other companies under common ownership with Ajeris Inc.
  • Service Providers: Companies that help us deliver personalized communications (under strict confidentiality agreements)
  • Healthcare Partners: Only with my additional explicit consent for specific referrals

Important: We will NEVER sell your identified medical information to third parties for their own marketing purposes.

Duration of Authorization

Unless I revoke it earlier, this Authorization is valid for five (5) years from the date I provide consent.

Your Rights

I understand that:

  1. This Authorization is voluntary. Ajeris Inc. cannot condition the provision of Ajovia services on whether I sign this Authorization.
  2. I can revoke this Authorization at any time by sending written notice to:

    Email: hi@ajovia.com

    Mail: Ajeris Inc., Attn: Privacy Officer, 2870 Peachtree Rd, Atlanta, GA 30305

    Revocation will be effective upon receipt but will not affect uses or disclosures made while the Authorization was valid.

  3. Re-disclosure risks exist. Information disclosed under this Authorization may be re-disclosed by recipients and may no longer be protected by federal privacy laws, though we require all recipients to maintain confidentiality.
  4. I have the right to receive a copy of this Authorization.
  5. I can inspect or obtain copies of the medical information used or disclosed under this Authorization.

Special Protections

We will NOT use your medical information to:

  • Deny you services or increase your prices based on health conditions
  • Share identified health data with employers (only aggregate, de-identified data)
  • Sell your identified information to data brokers or advertising networks
  • Make eligibility or pricing decisions for insurance

How to Manage Your Preferences

You can update your communication preferences at any time:

  • In Your Account: Visit Settings > Privacy > Communication Preferences
  • By Email: Send preferences to Hi@ajovia.com
  • By Phone: Call 1-800-AJOVIA-1

You can choose to receive:

  • ✓ Critical health alerts only
  • ✓ General health education (not personalized)
  • ✓ All personalized recommendations
  • ✓ No marketing communications

Consent Statement

By signing below or clicking "I Agree" in the Ajovia platform:

I acknowledge that I have read and understand this Authorization. I voluntarily authorize Ajeris Inc. to use and disclose my medical information as described above. I understand that I may refuse to sign this Authorization and that my refusal will not affect my ability to obtain services from Ajovia.

For Electronic Consent:

By clicking "I Agree," I provide my electronic signature and consent to this Authorization.

Date of Authorization: 12/25/2025

Electronic Signature: [Captured via Platform]

Contact Information

Questions about this Authorization?

Privacy Officer

Ajeris Inc. / Ajovia

Email: hi@ajovia.com

Phone: 1-800-AJOVIA-1

Website: ajovia.com

To Revoke Authorization:

Email: hi@ajovia.com (include "Revoke Authorization" in subject line)

For General Support:

Email: Hi@ajovia.com

Form Version: 1.0

Last Updated: September 1, 2025

Document ID: AJOVIA-AUTH-2025-001

This authorization complies with HIPAA Privacy Rule requirements under 45 CFR § 164.508

© 2025 Ajeris Inc. All rights reserved.

Ajovia™ is a trademark of Ajeris Inc.

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