I authorize Dexcom, Inc. (“Dexcom”) to use and to disclose my health and demographic information to its affiliates to direct me to Stelo.com.

I understand that Dexcom, Inc. may not condition treatment, payment, enrollment, or eligibility for benefits on whether I sign this Authorization. I understand that I may revoke this Authorization by emailing [email protected] (subject line “Revoke HIPAA Authorization.”) My revocation will not be effective to the extent Dexcom has already relied on this Authorization. If not revoked, this Authorization will expire one year from today. I understand that if my information is disclosed for the purposes described above, it is no longer protected by HIPAA. I also understand that I am entitled to a copy of this Authorization.

By clicking “Next,” or “Submit” I understand that I will have signed this Authorization. For more information: Dexcom's Notice of Privacy Practices.