Medic∆l Inform∆tion
Priv∆cy ∆uthoriz∆tion

Authorization To Obtain and Disclose Medical Information Requested Through The Site

I authorize Avanos to give my “Medical Information” requested through the Site to (a) Avanos; (b) affiliates and subsidiaries of Avanos; (c) service providers and customers of Avanos; (d) other entities with my consent; (e) third parties in response to a subpoena or legal request, or request by law enforcement; and (f) others if there is a change of control (“Third Parties”).

“Medical Information” means medical information in possession by Avanos requested through the Site.

The information will be used to fulfill my requests and those of Third Parties.

I agree that this authorization will expire five years from the date of this authorization.

I agree that a copy of this authorization is as valid as the original. I understand I am entitled to receive a copy of this authorization.