What we collect
Your name and phone number. Your email address, if you give one. The reason for your
visit. The date and time you signed in. A photo taken at check-in, unless you choose not to
provide one. Your electronic signature. We do not record your location.
Why we collect it
To confirm that you came to your visit. To keep an accurate record of the care you
receive. To meet documentation rules for your treatment and billing.
How it is kept
Your answers, your photo and your signature go into one signed document (PDF). Your name,
phone, email, reason for visit and sign-in time are also written in the sign-in register of
the practice. The photo and the signature are not written in the register.
The signed record is sent over an encrypted connection. It is stored in the private files
of Clarity Healthcare Services, LLC. If the connection drops, it waits on this device,
encrypted, until it is sent. It is protected health information under the HIPAA Privacy
Rule. It is never sold, and never shared with third parties without explicit consent.
Your rights
You may ask to see, correct or delete your record at any time by contacting the practice at
(443) 438-5538.