By requesting these medical supplies, you acknowledge and agree that Versipel, LLC may collect and share your personal contact information (including name, email, phone number and/or shipping address) with our partners, vendors, distributors, and affiliates (“Partners”). You agree to allow Partners to contact you regarding the requested sample, product information, or related healthcare offerings. This sharing is intended to facilitate sample delivery, provide technical support, and offer relevant product information. Your submission of this request for samples constitutes your express consent to this disclosure. You acknowledge that you have read and understand this Authorization and Waiver, have had the opportunity to ask questions, and agree to the terms set forth above. You further acknowledge that your contact information may be shared with multiple Partners and that individual Partner privacy practices may vary.