Loading...
Legal
Effective Date: January 29, 2026
This Authorization is provided pursuant to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), 45 C.F.R. § 164.508, and applicable state privacy laws. By agreeing to this Authorization, you permit Craft Peptides Management Services Organization (“Craft Peptides”) and its affiliated healthcare providers to use and disclose your protected health information (“PHI”) as described below.
This Authorization applies to the patient who creates an account and agrees to this Authorization during the Craft Peptides registration process. Your name, date of birth, and contact information on file with Craft Peptides identify you as the authorizing patient.
I authorize the following to use and/or disclose my PHI as described in this Authorization:
I authorize disclosure of my PHI to the following recipients, solely for the purposes described in Section 5:
This Authorization covers the following categories of PHI:
Sensitive information: This Authorization does not cover the following categories unless you provide a separate, specific written authorization: psychotherapy notes, substance abuse treatment records protected under 42 C.F.R. Part 2, and HIV/AIDS test results (where additional state protections apply).
My PHI may be used and disclosed for the following purposes:
This Authorization does not have a fixed expiration date. It remains in effect for as long as you maintain an active account with Craft Peptides, or until you revoke it in writing, whichever occurs first.
If you deactivate your account, this Authorization will terminate, except to the extent that Craft Peptides has already taken action in reliance on it or is required by law to retain your information.
Note: You may revoke this Authorization at any time by submitting a written request to our Privacy Officer at privacy@craftpeptides.com or by mailing a signed request to the address below.
Your revocation will be effective upon receipt, except to the extent that:
You have the right to refuse to sign this Authorization. However, Craft Peptides may not be able to provide certain services without your authorization to use and disclose your health information for the purposes described above. Specifically:
Refusing to sign this Authorization will not affect your right to obtain healthcare services outside of the Craft Peptides platform.
Once your PHI is disclosed pursuant to this Authorization, it may no longer be protected by federal privacy regulations. However, Craft Peptides requires all third-party recipients who are business associates to maintain the confidentiality and security of your information under executed Business Associate Agreements in compliance with HIPAA.
Recipients who are not covered entities or business associates under HIPAA may not be subject to federal privacy protections, though applicable state laws may provide additional protections.
You are entitled to receive a copy of this Authorization after you have agreed to it. A copy is available at any time in your Craft Peptides dashboard under your account settings, or by contacting us at the address below.
If you have questions about this Authorization, wish to revoke it, or want to exercise any of your privacy rights, please contact:
Craft Peptides — Privacy Officer
1005 Congress Avenue, Suite 925-F35
Austin, TX 78701
Phone: (512) 807-7360
Email: privacy@craftpeptides.com
By checking “I agree to Craft Peptides’ Authorization for Use of Medical Information” during account creation, you confirm that you have read and understand this Authorization, that you are signing it voluntarily, and that you authorize the use and disclosure of your protected health information as described above. Your agreement is recorded with a timestamp and associated with your account for your records and ours.