- Information Security Notice
- While this form is kept confidential and secure to the best of our abilities, it is not HIPAA-protected or encrypted
- Information submitted may be transmitted via unsecured email
- For maximum privacy protection, please provide only minimal necessary information
- Use of Information
- Information collected will be used only for responding to your inquiry
- Access is limited to authorized staff only
- Your information will not be sold or shared with third parties, ever
- Privacy Limitations
- While we maintain internal privacy practices in line with HIPAA, this initial contact form is not covered by HIPAA protections
- For sharing sensitive medical information, you can wait until you become a patient and can use our secure communication channels, or call us to relate this information
- Consent By submitting this form, you:
- Acknowledge these security limitations
- Consent to communicate via non-HIPAA approved channels for initial contact
- Understand that full HIPAA protections apply only after establishing a patient relationship
- Alternative Contact Options For highly sensitive information, please:
- Call our office directly at (303) 651-1502
- Request a secure patient portal invitation after becoming a patient.
Any questions about this policy, please contact our office at hhc@drbrandonlundell.com or call (303) 651-1502