Enrollment Consents
General Agreement
By submitting this form, you acknowledge that you have read and agree to the PrescribedRX, LLC Terms of Use, Privacy Policy, California Privacy Notice, and Consumer Health Data Privacy Policy.
Consent to use of health data for providing, maintaining, and supporting the services (required)
By checking this box, you give consent for PrescribedRX, LLC to collect and process your “Health Data” as defined in our Consumer Health Data Privacy Policy in order to provide, maintain, and support the services we provide to you. For example, to facilitate scheduling, communication, prescription management, and laboratory work with “Healthcare Providers” as defined in our Consumer Health Data Privacy Policy. We may also disclose your Health Data to Healthcare Providers as necessary to provide our services to you and you authorize such disclosure. You may withdraw this consent at any time by using our Privacy Request Form, calling us at 855-772-6800, or emailing us at support@prescribedrx.com. Please be aware that if you withdraw this consent, we many no longer be able to provide our services to you.