Privacy Policy

Before submitting this form, please read my privacy policy. You will find it by clicking here.
 

Please note that the 'Informed Consent' form is fully HIPAA compliant:

"HIPAA, the US Health Insurance Portability and Accountability Act, sets the standard for protecting sensitive patient data. Any company that deals with Protected Health Information (PHI) must ensure that all the required physical, network, and process security measures are in place and followed. We took all the safeguards to make sure our users in healthcare industry can use our form to collect the sensitive patient information."