By creating an account on StarCare Labs or StarCareLabs.com to receive COVID-19 tests on a monthly basis through this website at no cost to me, I consent to the following:
- I consent to the use of my Protected Health Information (“PHI”) by StarCare Labs, for the purpose of submitting claims to my health insurance provider and such other purposes that are permitted under the federal Health Insurance Portability and Accountability Act (HIPAA) for reimbursement of COVID-19 tests ordered through this website.
- I consent to StarCare Labs submitting claims to my health insurance provider on a monthly basis until such time as I notify StarCare Labs that I no longer wish to receive further COVID-19 tests, and I assign my right to receive any health insurance or other benefits in connection with the COVID-19 tests ordered through this website to StarCare Labs in order to permit StarCare Labs to submit such claims. I authorize payment directly to StarCare Labs for such claims.
- I consent to StarCare Labs and/or my health insurance provider contacting me in connection with the COVID-19 tests ordered through this website, including via email, phone, or text message.
- I consent to the Terms of Use, Privacy Policy and HIPAA Policy on StarCare Labs’ Website, www.StarCareLabs.com.
- I agree that all of the above consents apply to any other persons covered by my health insurance policy on whose behalf I order COVID-19 tests through this website, including any minors, and I affirm that I have the authority to order COVID-19 tests on such persons’ behalf, including any minors.
- I agree that, by ordering COVID-19 tests through this website or taking such tests, I am not entering into a doctor-patient relationship with StarCare Labs or any entity or person affiliated with StarCare Labs, and that any questions I may have concerning such tests, including but not limited to the results of such tests and any treatment, follow up, or other issues relating to such tests, are solely my responsibility.
- By clicking on the “I Agree” checkbox while registering, I acknowledge that I have read, understand, and agree to all of the above provisions of this Consent, including StarCare Labs’ Terms of Use and Privacy Policy. I further agree that I, as well as my heirs, executors, and assigns, and any other persons covered by my health insurance policy on whose behalf I have ordered COVID-19 tests, including any minors, hereby release StarCare Labs, including any of StarCare Labs’ owners, directors, officers, employees, agents, contractors, or other entities or persons affiliated with StarCare Labs, from any and all liability and claims in connection with such tests.
- I understand that the exact test that will be shipped by StarCare Labs is based on availability. The COVID-19 test kits have been authorized by the FDA under an emergency use authorization.
- I understand that while I may cancel at any time, only future orders of test kits may be canceled. I agree that any test kit that has already been ordered and has had a claim submitted to my insurance company may not be canceled.
- StarCare Labs’ terms and conditions may be changed at any time.