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The knowledge you submit on this manner might be used internally for the needs of processing and responding to your request. It could be routed internally to be able to discover probably the most acceptable member of workers to deal with your request and your contact info will solely be used to reply to your inquiry for those who point out permission to take action.
As well as, the data submitted could change into part of the affected person’s everlasting chart or therapy report at The Emily Program upon their utilization of The Emily Program companies, and this info could also be used within the planning of therapy and care offered to the affected person. On the time the affected person makes use of The Emily Program companies, The Emily Program’s Discover of Privateness Practices and different HIPAA and knowledge privateness and safety insurance policies will apply to the data submitted on this manner and to every other info that The Emily Program maintains in regards to the affected person and the care offered to the affected person.