Ajovia by Ajeris Inc.
Last Updated: September 1, 2025
Effective Date: September 1, 2025
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.
I authorize Ajeris Inc., operating the Ajovia platform, to use and disclose my medical information for the purposes described below.
This Authorization applies to all individually identifiable medical information that Ajovia collects, receives, or processes, including but not limited to:
I understand and authorize Ajeris Inc. to use the medical information described above for the following purposes:
I understand that my medical information may be shared with:
Important: We will NEVER sell your identified medical information to third parties for their own marketing purposes.
Unless I revoke it earlier, this Authorization is valid for five (5) years from the date I provide consent.
I understand that:
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.
We will NOT use your medical information to:
You can update your communication preferences at any time:
You can choose to receive:
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]
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