Privacy Policy

Last updated: 12-12-2025

SecurePatientForms provides secure online form technology for licensed medical providers. This Privacy Policy explains how information is handled when users visit this website or submit information through SecurePatientForms-hosted forms.

SecurePatientForms does not provide medical services and does not access, review, or use submitted patient information beyond what is technically required to securely transmit submissions to a provider-designated destination.

Information We Collect

Website Usage Information

When you visit this website, standard server logs may collect limited technical information such as IP address, browser type, date and time of access, and pages viewed. This information is used solely for security, operational, and performance purposes.

Information Submitted Through Forms

Information submitted through SecurePatientForms-hosted forms is transmitted securely and delivered directly to the medical provider’s designated HIPAA-compliant email address or intake system.

SecurePatientForms does not access, review, analyze, or retain patient submissions beyond transient transmission and does not store submitted form content for later use.

Use of Information

SecurePatientForms does not use submitted information for marketing, analytics profiling, advertising, or behavioral tracking. Submitted information is used only for secure delivery to the identified medical provider.

Cookies and Tracking

SecurePatientForms does not use advertising cookies, marketing pixels, or behavioral tracking technologies on secure form pages. Limited technical cookies or server logs may be used for essential site functionality and security.

Third-Party Services

SecurePatientForms may rely on third-party infrastructure providers for secure hosting, email transmission, and server operations. These providers are selected to support HIPAA-appropriate security and data handling practices.

Data Retention

SecurePatientForms does not retain submitted form content beyond the time required to securely transmit submissions. Medical providers are responsible for retention, storage, and handling of information once received.

Your Rights

Questions regarding submitted information should be directed to the medical provider identified on the form page. SecurePatientForms does not manage provider records or patient communications.

Changes to This Policy

This Privacy Policy may be updated periodically. Updates will be posted on this page with a revised effective date.