Health Information Consent

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.

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.

The information may be used by ProAging for treatment, payment, health care operations, assessment review, follow-up, and other uses or disclosures permitted or required by applicable law. It may also be used to prepare for physician or ProAging team review and to maintain required records.

Information may be accessed by authorized ProAging workforce members and clinical personnel. Violetek may access information as ProAging's business associate only as needed to operate, secure, support, or troubleshoot the platform. Violetek's approved service providers may process information only to provide those services and under appropriate safeguards.

Intake information and uploaded documents are transmitted through the secured intake flow. Please do not send health information by ordinary email unless ProAging provides a secure method or otherwise instructs you to do so.

You may request restrictions, access, amendment, an accounting of disclosures, or other privacy rights from ProAging or its Privacy Official. Any authorization to disclose protected health information may be revoked in writing as allowed by law; a revocation does not affect disclosures already made in reliance on a valid authorization.

ProAging's Notice of Privacy Practices describes patient privacy rights and ProAging's health-information practices. A separate written authorization may be required before certain disclosures of protected health information, including disclosures that are not otherwise permitted for treatment, payment, health care operations, or by law. Completing this website intake does not replace any authorization ProAging requires.