Health Information Consent
This consent describes the health-related information submitted after payment and how it may be used for the ProAging assessment process.
Last updated: July 9, 2026
This page is an implementation-ready draft for attorney review. It is not legal advice and should be reviewed by healthcare and privacy counsel before publication or operational reliance.
Payment First, Intake Second
Clients pay through Stripe before completing the detailed health intake. Stripe receives payment and checkout metadata. Detailed health assessment answers and uploaded documents are collected after payment through the intake flow.
Information Covered
This consent covers health history, medical conditions, medications, supplements, lab results, biomarker notes, uploaded records, body composition, nutrition, training, injuries, sleep, stress, energy, cognitive performance, wearable metrics, goals, readiness information, electronic signature, and consent records submitted through the intake.
Purpose of Collection
The information may be used to evaluate assessment fit, prepare for physician or ProAging team review, understand goals and constraints, support program recommendations, coordinate follow-up, and maintain operational records.
Who May Access Information
Information may be accessed by ProAging team members, the reviewing physician or professional staff, Violetek as the Texas-based technology provider, and infrastructure providers such as AWS when needed to host, transmit, store, secure, or troubleshoot the system.
Electronic Transmission Risk
By submitting intake information electronically, clients acknowledge that web forms, email notifications, file uploads, and cloud systems carry inherent transmission and storage risks even when reasonable safeguards are used.
Revocation and Effect
Clients may request to revoke consent for future use or request deletion where legally available. Revocation may limit ProAging's ability to complete the assessment, review uploaded materials, provide follow-up, or maintain program eligibility. Some records may need to be retained for legal, payment, operational, or professional reasons.
Counsel Review
Whether this flow is subject to HIPAA, requires a business associate agreement, or triggers specific Florida, Texas, or other state medical-record obligations must be confirmed by qualified counsel.