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OPTIONAL AUTHORIZATION

HIPAA Marketing Authorization

Effective October 6, 2026

This is a voluntary authorization for marketing communications that may involve health information. Treatment, payment, enrollment, and eligibility for benefits may not be conditioned on signing, except as permitted by law.

1. Information Authorized

If you affirmatively accept, you authorize the applicable treating medical practice, its licensed providers, VORA RX, INC., and their service providers to use and disclose contact information and limited information about your interests in or use of VORA services for personalized marketing communications.

2. Purpose and Recipients

Information may be used to send details about VORA programs, refill or engagement opportunities, wellness resources, products, promotions, educational content, and related services. Communications may be sent by VORA, the applicable medical practice, and contracted communications vendors acting on their behalf.

3. Communication Channels

Where separately selected, communications may be delivered by email, SMS or text, telephone, direct mail, in-app message, or online advertising. Message and data rates may apply. Email and text may not be fully secure. Consent to marketing texts is not a condition of purchase.

4. Expiration and Revocation

This authorization remains effective until revoked, unless a shorter period is stated at consent or required by law. Revoke at any time by emailing support@vora360.fit or using an unsubscribe mechanism. Revocation does not affect prior actions. Transactional, safety, treatment, fulfillment, and legally required communications may continue.

5. Redisclosure

Information disclosed under this authorization could, in some circumstances, be redisclosed by a recipient and no longer protected by HIPAA. Contractual and other privacy protections may still apply.

6. Acknowledgment

By selecting the authorization checkbox or signing electronically, you confirm that you understand the information, purpose, recipients, expiration, right to revoke, and possibility of redisclosure. Keep a copy for your records.

Contact VORA

VORA RX, INC.
336 N. Superior St., Suite 1
Toledo, Ohio 43604
support@vora360.fit