We Partner With Health Insurance Brokers, Agencies , Carriers, & Benefits Providers.
Signed in as:
HIPAA compliance forms
It's easy to use medical forms for new patient registration, appointment scheduling, refill requests, patient satisfaction surveys, & even online bill payment.
User timeouts will change from 6 hours to 1 hour to increase the security for sensitive PHI.
Automatic locking of screens and other computer security measures should still be employed, but this adds an additional layer of protection.
LEGAL & PRIVACY
This privacy statement explains the procedures followed by EnrollPad.com and Enroll.Direct in collecting and using information regarding visitors to this Web site and advises you what information might be shared with third parties. The type of information collected will vary depending upon the portions of the site which you visit and, in certain instances, which you voluntarily disclose.
COLLECTION OF INFORMATION
If you read or download any pages on a Enroll.Direct website, we automatically collect and store: the requested Web page, the status of the request (whether it was successful or not), the date and time you access our site, the Internet address of the Web site or the domain name of the computer from which you accessed our site, the type and version of the Web browser, the operating system of the computer running the Web browser, and additional information that might be made available to us.
In addition to using this information to send the requested site pages to your computer, we use this information (i) to monitor the performance of our Web server and diagnose system problems and to otherwise administer our system and (ii) to provide collective demographic and user profile data on visitors to our site. Any usage of on-line chat, newsgroup, or comment sessions is considered a public usage and you assume responsibility for any information or content which you submit.
USERS WHO REGISTER
Most areas on EnrollPad or Enroll.Direct require a user to be registered in order to access. Any information provided on these pages may be added to the aforementioned tracking data and used for marketing purposes by EnrollPad. This information will not be sold and resold to other third parties.
If you send us an e-mail or submit information via a form on our website, in addition to the information, we will also record your e-mail address and any other personal information included with your message. We will use this information to respond to your message and may add your address to an e-mail distribution list used to announce new products or to update the status of other products or otherwise contact you for marketing purposes. This information may not be distributed to third parties.
ONLINE PURCHASERS/DEMO USERS
If you access or download a software or other product demo, in addition to the general visitor information, we will collect and store your name and e-mail address and other information on the registration form. This information will be incorporated into one or more EnrollPad database(s). We may use this information to send you solicitations for EnrollPad or Enroll.Direct products and make other marketing contacts. This information will not be distributed to third parties. If you order a product on-line, in addition to the general visitor information, we will require certain personal information, including (i) financial information necessary to process the order (such as a credit card number or account information), (ii) location information (including address and business affiliation) necessary to ship and process the order (which will include mailing and delivery addresses and telephone numbers) and to otherwise support the EnrollPad customer database and (iii) unique identifiers (such as a user password). We use this information to authorize and process your order and also to track order fulfillment and billing. For certain products, customers who do not wish to provide this information on-line may order products by telephone. The customer specific information will be incorporated into one or more EnrollPad customer database(s). We periodically send our customers, either by regular mail or e-mail, information and solicitations for EnrollPad products and make other marketing contacts. We also use composite demographic or profile data for our own internal research and when dealing with advertisers and content providers.
For visitors who only read or download pages from an EnrollPad.com or Enroll.Direct website, individual identifying data may be shared outside of EnrollPad.com or Enroll.Direct and its providers. We may disclose or sell collective demographic and user profile data with third parties.
Visitors who register may be included in one or more EnrollPad customer database(s). This data may not be sold to third parties. Users who do not wish to have this information shared must request removal from the website and will be unable to access EnrollPad resources and services.
Parties who send us an e-mail or respond to the Contact Us section may be included in one or more EnrollPad.com or Enroll.Direct customer databases. This data may be shared or but will not be sold to third parties.
ONLINE PURCHASERS AND DEMO USERS
Parties who sample products or order on-line will have certain information entered in one or more EnrollPad.com database(s). Information in EnrollPad.com customer databases may not be sold to third parties. Users who do not wish to have this information shared must request removal from the website and will be unable to access EnrollPad.com resources and services. This may include any information supplied to EnrollPad.com other than individual financial information (such as credit card or account data, and personal passwords). EnrollPad.com will disclose credit card account, billing and expiration data only to the institutions with which it has a merchant relation, including charge authorization services. Delivery information may be disclosed to shippers and others in the delivery process for the purpose of delivering goods and tracking shipments. Payment information may be disclosed to credit reporting bureaus or used for collection or law enforcement purposes.
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EnrollPad.com and Enroll.Direct is committed to taking commercially reasonable steps to protect any individual identifying information that you provide to us.
If you have any questions about the accuracy of information on EnrollPad's system or need to modify any information previously provided, you may contact us to confirm or correct any individual identifying information as follows:
By e-mail: firstname.lastname@example.org
EnrollPad LLC reserves the right to revise these terms at any time by updating this posting. Even though you may have visited this site before, any access is subject to the then current terms and you are responsible for checking for any updates. However, the prior terms will continue to apply to any information submitted under such policy.