PRIVACY POLICY
Effective Date: 10/01/2025
Provider: Darr Family Chiropractic (“we,” “us,” “our”)
1. Purpose of This Policy
This Privacy Policy explains how we collect, use, protect, and disclose personal and health information submitted through our online intake, scheduling, and pre-screening systems. This policy applies exclusively to information submitted before becoming an in-office patient and does not replace the full Notice of Privacy Practices provided at the time of treatment.
2. Types of Information Collected
We collect only the information necessary to schedule an appointment and determine whether you may be a candidate for evaluation or treatment. This may include:
Contact information (name, phone, email)
Health and symptom information voluntarily entered into the form
Diagnostic or imaging status (e.g., MRI completed)
Optional prepaid appointment reservation information (if submitted)
We do not collect unnecessary data, and we do not sell or share information for advertising purposes.
3. Purpose and Lawful Basis for Collection
Information submitted through the online form is used exclusively for:
Appointment scheduling
Preliminary medical suitability review
Secure transfer into our HIPAA-compliant Electronic Health Record (EHR)
Appointment and clinical follow-up communications
By submitting the form, you provide consent for this limited medical use. No information submitted is used for audience targeting, advertising, remarketing, or data resale.
4. Data Handling and Storage
Form submissions are processed on a HIPAA-compliant version of GoHighLevel
Data is encrypted in transit and at rest
PHI is transferred into the clinic’s EHR system
The landing page and web host do not retain PHI after transfer
Only authorized clinical staff may access submitted information
No PHI is stored by advertising platforms (Meta, Google, etc.)
5. HIPAA Compliance
For U.S. patients, all collected health information is handled in accordance with the HIPAA Privacy Rule. Patients are entitled to all privacy rights under HIPAA, including access, correction, restriction, and complaint rights.
6. Canadian Compliance (PIPEDA and Provincial Law)
For Canadian users, collection and handling of personal information complies with PIPEDA and any applicable provincial health privacy laws. Data may be transferred to the United States for treatment purposes only and is subject to the same level of protection applied to U.S. patient records.
7. Data Retention
PHI submitted through the form is not stored on this website after transfer to the EHR
If an individual does not become a patient, intake data is not kept or reused
No intake data is retained for marketing or sales purposes
8. Disclosure Restrictions
We do not sell or share personal or health information with third parties for commercial purposes. Disclosure may occur only as permitted by law, including:
To authorized medical staff
To HIPAA-compliant service providers under Business Associate Agreements
To process an approved payment
When legally required (e.g., subpoena, court order)
9. Cookies and Analytics
Website-level analytics may track anonymous, non-medical browsing activity. No cookie, pixel, or tracking tool is permitted to collect or transmit PHI.
9A. Use of Advertising and Analytics Platforms (Meta, Google, or Similar)
We may use advertising or analytics tools to measure the performance of our online advertising campaigns. These tools may collect limited technical information such as IP address, device type, browser type, and timestamp of page visit for attribution and conversion-tracking purposes only.
No personal health information (PHI), medical intake responses, diagnostic details, treatment history, symptoms, or form submission data are transmitted to Meta, Google, or any other advertising platform.
All tracking tools are configured to prevent the transmission of PHI or any data that could be used to infer a health condition, diagnosis, or treatment status about a specific individual. Pixel-based tracking is disabled on pages where medical intake forms are submitted or viewed, and no form fields or health data are mapped to ad platforms.
We do not use retargeting or remarketing audiences based on medical form submissions, health status, or appointment scheduling actions.
9B. Meta (Facebook/Instagram) Tracking Limitation Notice
When Meta tracking is used, the only data transmitted is non-medical event metadata such as:
IP address
Timestamp of page visit or action
Generic page URL (not containing health references)
Non-identifying conversion event data
No medical history, symptoms, diagnostic information, or intake responses are shared with Meta. Meta does not receive, store, or process any personal health information submitted through this website.
Meta is not a Business Associate under HIPAA, and therefore no PHI is sent to Meta under any circumstances.
9C. Google Tracking Limitation Notice
Any Google Analytics or Google Ads tracking is configured in “restricted data mode” and does not collect or transmit PHI. No medical form responses, health condition identifiers, or intake data are linked to Google services.
If attribution tracking is used, it is limited to anonymous, aggregate, non-medical traffic data. Google does not receive, store, or process PHI from this website.
9D. No PHI Shared With Any Advertising Platform
For clarity:
We do not send PHI to Meta, Google, or any third-party advertiser
We do not allow ad platforms to collect health-related fields or form data
We do not build advertising audiences using health data or appointment activity
We do not share or sell patient data for any marketing or profiling purpose
We do not authorize any platform to re-identify website visitors based on medical information
All PHI remains within our HIPAA-compliant intake system and clinical EHR only.
9E. Canadian Compliance Statement
For users located in Canada, no personal health information is disclosed to Meta, Google, or other advertising platforms. Any metadata shared is anonymized and processed in compliance with PIPEDA and applicable provincial health privacy laws.
10. PCI Compliance for Payment Processing
If you choose to prepay to secure your appointment:
Payment is processed through a PCI-DSS compliant payment processor
We do not store credit card data on this website or in our systems
Payment information is not linked to medical records
Cardholder data is encrypted and accessible only to the payment processor
11. HIPAA Consent for Online Intake
Submission of the medical intake form constitutes consent for the use of the information solely for evaluation, scheduling, and transfer into the EHR. A separate formal consent for treatment is provided in-office.
12. Patient Rights
To request access, correction, restriction, or deletion of your information, contact:
Shonda Darr
Darr Family Chiropractic
Requests will be completed in accordance with HIPAA, federal law, state law, and (where applicable) Canadian law.
13. Changes to This Policy
We reserve the right to make changes to this Privacy Policy. Updates will be posted with a revised effective date.
14. How to File a Complaint
United States:
Office for Civil Rights, U.S. Department of Health & Human Services
Canada:
Office of the Privacy Commissioner of Canada
You will not be penalized for filing a privacy complaint.
15. Acknowledgment
By submitting information through this website, you acknowledge that:
You are providing health information voluntarily
The information will be used only for medical review and scheduling
No PHI is used for advertising, retargeting, or profiling
You may withdraw consent as permitted by law.