Authorization for Use of Medical Information

Why You Are Being Asked to Provide This Authorization

At Halftime Health, we want to be sure you understand how the personal and medical information you entrust us with may be used. As part of delivering your personalized protocol plan and ongoing care, Halftime Health, LLC and its corporate affiliates (together, "Halftime Health") may contact you about products, services, and health content that we believe are relevant to you based on your biomarker results and health profile.

For example, if your lab results indicate suboptimal IGF-1 or testosterone levels, Halftime Health might inform you about protocols or adjunct services that may be relevant to your goals. To ensure we communicate with you in a way that matches your approved preferences, we ask that you execute this Authorization for Use of Medical Information ("Authorization").

If you choose not to execute this Authorization, we will still provide our core services to you exactly as described in our Terms of Service. This Authorization is not a condition of receiving medical services or having your physician review completed.

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Authorization

I authorize Halftime Health, LLC, its corporate affiliates, and its contracted physician network partner, OLA Digital Health (and any successor physician network providers) (collectively, "Halftime Health"), to use my medical information for the purposes described below.

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What Medical Information This Authorization Covers

This Authorization applies to all individually identifiable medical information received, collected, or otherwise processed by Halftime Health in connection with my use of its services. This includes, without limitation:

• My name, date of birth, and contact information (email, address, phone number)
• Demographic information, including biological sex and age
• My blood biomarker results (including results from the Halftime Baseline lab panel and any subsequent panels)
• My health intake responses, medical history, current medications, and allergies
• My personalized protocol plan and any physician-approved prescription information
• Any communications between me and Halftime Health's clinical support team or physician network
• Any other information pertaining to my medical history, physical condition, health goals, or treatment

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Purpose of This Authorization

This Authorization permits Halftime Health to use the information listed above in connection with:

(a) Personalized protocol delivery and clinical coordination: Using my biomarker results and health profile to generate and present a personalized protocol plan for physician review; coordinating with OLA Digital Health's licensed physician network to facilitate prescription issuance; and routing approved prescriptions to our partner compounding pharmacies (Wellsync/BoomRx and MediVera) for fulfillment.

(b) Marketing, educational, and promotional communications: Using the information listed above in connection with marketing, advertising, research, and promotional activities regarding:

• The release, availability, details, specifications, features, quality, performance, and/or pricing of products, programs, protocols, services, and opportunities offered by Halftime Health and/or a third party that may be relevant to my health profile and goals; and
• News, current events, research, history, and advances in science, health, wellness, longevity, peptide therapy, hormone optimization, and nutrition, for the purposes of notifying me of opportunities, products, services, and other offerings that Halftime Health deems may be of interest to me.

Halftime Health may also make the information listed above available to its affiliates and contracted service partners (including OLA Digital Health, Wellsync, MediVera, and Futurewell) for the same purposes, subject to applicable Business Associate Agreements and HIPAA requirements.

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Important Disclosures

Having fully read the above, I understand and acknowledge that:

1. Risk of re-disclosure. Any use or disclosure of individually identifiable medical information carries the potential for unauthorized re-disclosure. Such re-disclosure is in some cases not prohibited by applicable laws and may no longer be protected. Applicable laws may prohibit the recipient of my medical information from making further disclosures unless the recipient obtains another authorization from me, or unless such disclosure is required or permitted by applicable law.

1. Right to revoke. I or my designated representative may revoke this Authorization at any time. My revocation must be in writing, signed by me or on my behalf, and delivered to Halftime Health via email at: legal@halftime.health. My revocation will be effective upon Halftime Health's receipt but will not be effective to the extent that Halftime Health or others have already acted in reliance upon this Authorization (i.e., prior uses or disclosures will remain valid under the previous Authorization).

1. Right to a copy. I have a right to receive a copy of this Authorization. I may inspect or obtain a copy of the medical information used or disclosed subject to this Authorization by contacting Halftime Health at the address below.

1. Not a condition of services. Halftime Health may not condition its provision of core clinical services (including lab ordering, biomarker analysis, or physician review) on the receipt of this marketing Authorization. My physician review and personalized protocol plan will proceed regardless of whether I sign this Authorization.

1. Duration. Unless otherwise revoked by me or my designated representative, this Authorization shall be effective for five (5) years from the date of my approval, or until I revoke it, whichever comes first.

1. Peptide therapy context. I understand that Halftime Health's services involve physician-supervised, compounded peptide therapy protocols. The medical information covered by this Authorization may include information about my prescription peptide protocols, dosages, and treatment history.

1. HIPAA compliance. This Authorization is provided in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations. Halftime Health handles my protected health information (PHI) as a HIPAA Business Associate of OLA Digital Health and its affiliated physician entities.

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I have read and understand the above disclosures and statements. I authorize the use of my medical information as described in this Authorization.

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Contact Information:

Halftime Health, LLC

Attention: Privacy Officer

Email: legal@halftime.health

Website: halftime.health

This Authorization is governed by applicable federal and Texas state law.