HIPAA Authorization for Use and Disclosure of Protected Health Information
This Authorization permits the entities below to use and disclose your Protected Health Information ("PHI") as described in this Authorization:
- Onduo Professionals, P.C., Onduo Professionals of Alaska, Onduo Professionals of California, P.C., Onduo Professional of Hawaii, P.C., Onduo Professional of Kansas, P.A., Onduo Professional of New Jersey, P.C., Onduo Professional of Texas, P.A., Onduo, LLC, Onudo Management Services, and each entity's respective partners and vendors (collectively, "Practice" or "Onduo")
- Verily Life Sciences and its respective partners and vendors (collectively, "Verily").
Last Updated: October 16, 2025
Information to Be Used or Disclosed
The following PHI may be used or disclosed under this Authorization: all information in my medical files, including but not limited to contact and demographic information; information related to my care or treatment; medical and pharmacy records, including test results; information related to my receipt of health care services.
I specifically authorize the use and disclosure of health information relating to the following types of services I receive (if any):
- Substance use disorder diagnosis, treatment, prognosis, or referral information
- HIV/AIDS-related information, including AIDS-related complex (ARC)
- Genetic testing information
- Mental and behavioral health information (excluding psychotherapy notes)
Purposes of Use or Disclosure
The PHI described above may be used and disclosed for the following purposes:
- Develop, improve, or offer services, products, and technologies related to health and wellness.
- To communicate with you about health and wellness products and services and other opportunities that may be of interest to you.
- To conduct or sponsor current or future research, such as research to make discoveries or improvements related to health and wellness (including recruitment for such research and maintenance of research databases or repositories).
Recipients
Your PHI may be disclosed to:
- Entities conducting or sponsoring current or future research.
- Health and wellness companies that provide products, services, and technologies that may be of interest to you.
- Verily and Onduo partners and vendors that help us develop, improve, and deliver services or otherwise operate our business.
Additional Information
- Communications under this Authorization may be made via the mobile app, text message, email, social media, and/or direct mail.
- Verily and Onduo may receive compensation for sharing offers and helpful communications with you or disclosing your information.
- Any information disclosed under this Authorization may be subject to re-disclosure by the recipient and may no longer be protected by HIPAA.
- This Authorization is voluntary. Your treatment, payment, enrollment, or eligibility for benefits is not conditioned upon signing this Authorization.
- A copy of this Authorization can be obtained by accessing https://verilyme.com/hipaa-privacy
Expiration
Unless revoked, this Authorization will remain in effect so long as I am a user of Onduo or Verily services or fifty years, whichever occurs later (unless applicable state law requires this Authorization to expire sooner).
Right to Revoke
You have the right to revoke this Authorization at any time by sending written notice to the address below. Please note that your revocation will not apply to information already used or disclosed in reliance on this Authorization.
Onduo Professionals, P.C.
10 Langley Road, Ste 400
Newton, MA 02459