Terms & Conditions

1. Information We Collect

By submitting this form you provide Compassion Pediatrics & Behavioral Health Services ("we," "our," or "the Practice") with your name, email address, phone number (optional), county of residence, and your relationship to our practice. This information is collected solely to facilitate event participation and care coordination.

2. How We Use Your Information

• To verify attendance and sign-in at Compassion Pediatrics events.
• To contact you regarding your child's care, appointments, or follow-up services.
• If you opt in, to send periodic emails about our services, community events, and health resources. You may unsubscribe at any time via the link in any email we send.
• To generate aggregate, de-identified analytics (e.g., which counties our patients travel from) to help us plan future outreach.

3. HIPAA & Data Security

Compassion Pediatrics is a covered entity under the Health Insurance Portability and Accountability Act (HIPAA). Information collected through this form is stored on secure, encrypted servers and handled in accordance with our Notice of Privacy Practices. We implement administrative, physical, and technical safeguards to protect your personal and health-related information.

4. Sharing of Information

• We do not sell, rent, or trade your personal information to any third party for marketing purposes.
• We may share information with Business Associates (as defined under HIPAA) who assist us in operating our practice, provided they agree to maintain the confidentiality and security of your information.
• We may disclose information as required by law or to protect the health and safety of patients or the public.

5. Your Rights

• Access & Correction: You may request a copy of the information we hold and ask us to correct any inaccuracies.
• Opt-Out: You may opt out of marketing emails at any time using the unsubscribe link or by contacting our office directly.
• Deletion: You may request deletion of your event sign-in record by contacting us. Note that medical records maintained separately under HIPAA have their own retention requirements.

6. Children's Privacy

This form may be completed by a parent or legal guardian on behalf of a minor patient. By submitting, you confirm you have legal authority to provide the information and consent on the child's behalf.

7. Cookies & Device Data

This form does not use tracking cookies and does not collect device identifiers, IP addresses, or browsing history.

Questions? Contact Compassion Pediatrics & Behavioral Health Services at our Pikeville or Wayland offices, or ask a staff member at this event. Last updated 2025.

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