Privacy Policy

Last updated: August 20, 2026

This page explains what information is collected through this enrollment form, how it is used, and how it is protected.

Information We Collect

When you submit this form, we collect the information you provide directly: your first name, last name, and cell phone number.

How We Use Your Information

We use this information solely to identify you as a patient eligible for a chronic care coordination program and to follow up with you regarding enrollment. We do not sell, rent, or share your information with third parties for marketing purposes.

How We Protect Your Information

Your information is transmitted securely and stored in a protected patient database, subject to the same safeguards used to protect other patient health information in your care team's systems.

Your Choices

Submitting this form is voluntary. If you have questions about your information or wish to have it removed, please contact your care team directly.

Contact Us

If you have questions about this privacy policy or how your information is handled, please contact your care team through your clinic.