HIPAA Disclaimer for Contact Form

Please Note:
The contact form on this website is not intended for transmitting personal or protected health information (PHI). While we take your privacy seriously, this form is not HIPAA-compliant and should not be used to share any sensitive medical, psychiatric, or confidential details about your health.

By submitting this form, you acknowledge that:

• You will avoid entering personal health information (ex: diagnoses, medications, symptoms, or private clinical details).

• This form is for general inquiries only—such as scheduling questions, service information, or administrative communication.

• If you need to discuss health-related information, you will be directed to our secure, HIPAA-compliant client portal or contacted through a protected communication method.

For current or prospective clients needing to share private health information, please wait to use our HIPAA-secure client portal or contact us by phone so we can guide you to the appropriate confidential platform.

Your privacy matters to us.
We are committed to protecting your information and ensuring all clinical communication happens through secure, compliant channel.