Redisclosure Consent
Authorization for Disclosure of Health Information
This authorization governs how Videra Health may disclose your health information to healthcare providers and third parties.
Authorization Overview
By accepting this authorization, you allow Videra Health to disclose your information, including healthcare and other medical information, to:
- Your healthcare provider(s)
- Third-party entities listed in our Privacy Policy
This disclosure is made for the purposes outlined in our Privacy Policy.
Duration of Authorization
This authorization remains in effect until the year 2050, unless revoked earlier in writing.
Your Right to Revoke
You may revoke this authorization at any time by submitting a written request to Videra Health. Upon revocation:
- Videra Health will no longer be authorized to disclose your medical information
- Any disclosures made prior to revocation remain valid
- A new authorization must be executed for future disclosures
Request a Copy
You have the right to receive a copy of this authorization upon request. To request a copy, please email support@viderahealth.com.
Questions?
If you have questions about this authorization or how your health information is used, please contact our Privacy Officer at privacy@viderahealth.com.