Effective Date
[EFFECTIVE DATE]
Who This Policy Covers
This policy applies to the website for [PRACTICE NAME], located in [STATE], and to information submitted through this website. It does not replace any informed consent, intake paperwork, Notice of Privacy Practices, or clinical-record privacy policy provided by [PRACTICE NAME].
Information The Website May Collect
The website may collect information you choose to provide, such as your name, email address, phone number and preferred contact time. Please do not submit private health details, crisis information, or sensitive counseling concerns through website forms.
The website may also collect basic technical information, such as browser type, pages visited, device information and general usage data through analytics or similar tools.
How Information Is Used
- To respond to questions or appointment requests.
- To provide website functionality and improve the website.
- To maintain basic security and prevent misuse.
- To comply with applicable legal or professional obligations.
Booking Tools, Analytics And Third Parties
The website may link to or embed services provided by third parties, such as [BOOKING PROVIDER], [CONTACT FORM PROVIDER] or [ANALYTICS PROVIDER]. These providers may collect information according to their own privacy policies. Review their policies before using those tools.
No Selling Of Personal Information
[PRACTICE NAME] does not sell personal information submitted through the website.
Clinical Records Are Separate
Information that becomes part of counseling records is governed separately by the counselor’s informed consent documents, professional requirements and any Notice of Privacy Practices or clinical privacy policy provided directly to clients.
Your Choices
You may choose not to submit information through the website. You may also contact [PRACTICE NAME] to ask questions about website privacy or request updates to information you provided, subject to legal and professional requirements.
Contact
For privacy questions, contact [PRACTICE NAME] at [CONTACT EMAIL] or [CONTACT PHONE].
Changes To This Policy
This policy may be updated from time to time. The effective date above should be changed when updates are made.