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Website Contact Form Disclaimer
If Integrative Chiropractic’s website contains a contact form allowing patients or potential patients to contact the organization, it is recommended to have a similar disclaimer on the contact page identifying that information submitted should not contain unnecessary PHI as the communication may be unsecured or intercepted. To add a disclaimer to any website contact forms, copy and paste this information below on the appropriate webpage(s):

Please know that email communication via our website may not be done through a secure platform. Although it is unlikely, there is a possibility that information you include in your submission can be intercepted and read by parties other than the intended recipient. To protect your confidential information, please do not include personal identifying information such as your birth date or personal medical information in any emails or website submissions you send to us.