Confidentiality & HIPAA Acknowledgment
Your privacy is important to us.
The information you provide in this assessment may include personal health information (PHI) that will be used solely to evaluate your wellness goals, determine eligibility for physician-guided programs, and provide personalized recommendations for wellness services, nutritional supplements, laboratory testing, and other programs offered through Sunny Shores SPRAY SUN SPA.
Your information will be kept confidential and stored securely. It will only be accessed by authorized Sunny Shores team members involved in your wellness consultation and, when necessary, licensed healthcare providers or affiliated medical practices responsible for reviewing physician-guided treatment eligibility.
Sunny Shores SPRAY SUN SPA does not sell, rent, or share your personal information with third parties for marketing purposes. Information is only shared as necessary to coordinate your care, process physician-guided program requests, or comply with applicable legal requirements.
By submitting this assessment, you acknowledge and consent to the collection, storage, and use of the information you provide for wellness consultation purposes. You understand that physician-guided services require review and approval by a licensed healthcare provider and that additional medical information may be requested before treatment recommendations are made.
While Sunny Shores SPRAY SUN SPA follows privacy and security practices designed to protect your information, this assessment is intended for wellness planning and does not establish a patient-provider relationship with Sunny Shores or guarantee eligibility for any physician-guided program.