Why do we need this information?
This website is designed to send a summary to your doctor to help you and your doctor better manage your health. We cannot send your information to your doctor without this information. Please know that your contact information is stored separately from the answers to your questions. Your contact information is encrypted and password protected. To protect your privacy, no one can look at your contact information at the same time as your health information. Your contact information will only be used by your doctor. It will not be shared with advertisers or other people.