About this website
The consultation form is hosted in the practice’s Google Workspace. This website does not store form responses and does not include advertising pixels, analytics, or patient accounts. Font files may load from Google Fonts, and hosting may maintain ordinary request logs.
Videos hosted by YouTube
Video preview images are served from this website. The embedded YouTube player loads only when you select Play. Playback connects to YouTube using its privacy-enhanced embed domain; YouTube may receive device and network information and apply its own data practices. Choosing a YouTube link opens YouTube directly.
Notice of Privacy Practices
Open the practice’s original six-page privacy notice · PDF ↗. Effective January 1, 2019; this supplied document includes older contact details. Call the current office number for questions.
Consultation requests through Google Workspace
The embedded consultation form sends the information you enter to the practice’s Google Forms account and linked response sheet. Loading the form connects your browser to Google. The form asks for basic contact and appointment preferences, not medical records, insurance details, or detailed health history.
The practice receives a new-response email notification. A submitted request is not a confirmed appointment. Any detailed screening remains an office-directed intake step.
Practice privacy information
Read the practice privacy notice. Contact the office for the current Notice of Privacy Practices and questions about medical information.