**We are committed to maintaining your privacy and security. We respect the privacy of all of our patients and the data collected from the forms. Our priority is to ensure that your information is secure, the data you provide to us is protected, and that your privacy is respected. We take significant steps to ensure that our servers and your data are always kept secure. When we collect personally identifiable information from you, the data is always secured by the Secure Sockets Layer (SSL). We take this responsibility very seriously. Please take a moment to read our Notice of HIPAA Privacy Practices.