Privacy
Notice

When you submit a request through this website, we collect the information you provide, which may include:

• Your name, date of birth, and contact information (phone, email, address)
• Insurance carrier name and member ID
• Preferred provider, requested appointment date, and appointment type
• Preferred pharmacy name and location
• Authorized release contacts and consent signatures

This website collects scheduling and pre-registration information only. No protected health information (PHI), medical records, diagnoses, or clinical history is transmitted or stored through this system. Your full medical record is maintained through the practice's secure EHR patient portal, which operates under a separate HIPAA-compliant infrastructure.

Information submitted through this website is used solely to:

• Contact you to confirm or schedule your appointment
• Set up your patient record before your first visit
• Verify your insurance coverage
• Route your prescriptions to your preferred pharmacy

We do not use your information for marketing purposes, and we do not sell or rent your information to any third party.

We do not sell, trade, or transfer your personal information to outside parties. Information may be shared only in the following limited circumstances:

• Practice staff only — authorized front office and clinical staff access submissions to prepare for your visit
• As required by law — we may disclose information when required by court order, law enforcement request, or other legal obligation
• With your consent — we will not share your information with any other party without your explicit written authorization

Submissions are stored securely in Cloudflare's infrastructure and are accessible only to authorized practice staff through a protected admin panel.

This website does not use tracking cookies, third-party analytics, or advertising pixels. We do not build profiles from your browsing behavior.

Standard server logs may capture your IP address and browser type for security and performance purposes only. These logs are not linked to your personal identity and are not retained beyond standard security retention periods.

You have the right to:

• Request a copy of the information you submitted through this site
• Request correction of inaccurate information
• Request deletion of your pre-registration data prior to your first visit

To exercise any of these rights, contact us directly by phone or email. We will respond within five business days.

For rights related to your medical record held in our EHR system, please refer to our HIPAA Notice of Privacy Practices.

If you have any questions about this notice or how your information is handled, please contact us:

We may update this Privacy Notice from time to time. When we do, we will revise the effective date at the top of this page. We encourage you to review this notice periodically. Continued use of this website after changes are posted constitutes your acceptance of the updated notice.