HIPAA Authorization Notice

Effective Date: July 8, 2025

Vitals Vault enables users to access and coordinate at-home healthcare and lab testing services. As part of this process, your protected health information may be shared between healthcare providers, lab facilities, and authorized third parties to fulfill your care request.

This HIPAA Authorization allows for the disclosure of your information to Vitals Vault. By using our services, you agree to the following:

1. Authorization of Disclosure

Pursuant to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), you authorize the release and disclosure of your medical records, lab orders, and/or lab testing results to Vitals Vault for the purposes of care coordination and service fulfillment.

2. Right to Revoke

You may revoke this Authorization at any time, with certain exceptions. To revoke, you must do so in writing by contacting Vitals Vault support. Please note that it may take several business days to process your revocation.

3. Voluntary Agreement

You are not required to sign this Authorization; however, it is necessary to access services provided through Vitals Vault. Your healthcare provider may not condition treatment, payment, enrollment, or eligibility for benefits on your decision to authorize.

4. Redisclosure Risk

Once your information is disclosed pursuant to this Authorization, it may no longer be protected under federal privacy law and could be re-disclosed by the recipient.

5. Duration and Scope

This Authorization supersedes any prior agreement you may have made to restrict access to or disclosure of your individually identifiable health information. This Authorization shall remain in effect unless and until you revoke it in writing.

6. Your Copy

You are entitled to receive a copy of this Authorization for your records.

Contact Us

If you have any questions or would like to revoke your authorization, please contact us: