Privacy Policy for Contact Form Submissions

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Effective Date: August 28, 2025

 

Mount Tabor Therapy is committed to protecting the privacy and confidentiality of your personal information. This Privacy Policy outlines how we collect, use, and protect the information you provide when submitting a contact form on our website.

 

1. Information We Collect:

​When you fill out the contact form on our website, we may collect the following information:

• Full name

• Email address

• Phone number (if provided)

• Insurance provider (if included)

• Any additional information you voluntarily share in the message field

Please note: Do not include sensitive personal or medical information in the contact form. (ie date of birth, etc)

 

2. How We Use Your Information:

​We use the information you submit via the contact form to:

• Respond to your inquiries or requests

• Contact you to schedule appointments

• Confirm your insurance is accepted at the clinic

• Provide information about our services

Your information is only used for these purposes and is not shared with third parties.

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3. Data Security

We take the security of your information seriously and use reasonable administrative, technical, and physical safeguards to protect it. However, please be aware that no method of electronic transmission over the internet is 100% secure. If you are concerned about the privacy of your information, please call or email us directly instead of using the contact form.

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4. Third-Party Services

Our website may use secure third-party platforms (such as web hosting or contact form processors) that comply with applicable privacy and security standards. We ensure that these services are contractually obligated to safeguard your information.

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4. HIPAA & Oregon Law Compliance

Although the contact form is not a HIPAA-compliant tool for transmitting health information, once you become a client, all health-related information you share is protected under the Health Insurance Portability and Accountability Act (HIPAA) and relevant Oregon privacy laws (such as ORS 192.553 – 192.581, which address the confidentiality and access to medical records).

As a licensed provider in Oregon, Mount Tabor Therapy also complies with ethical and legal standards set by the Oregon Board of Licensed Clinical Social Workers.

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5. Your Rights Under Oregon Law

Under Oregon law and HIPAA:

• You may request to review, correct, or delete any information you’ve submitted.

• You may revoke your consent to be contacted at any time.

• You may request a copy of our full Notice of Privacy Practices, which applies once you begin services as a client.

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6. Your Rights

You have the right to request access to the information we have about you, ask for corrections, or request deletion of your data. To do so, please contact us at:

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Mount Tabor Therapy
Email: phoenix@mounttabortherapy.com
Phone: 971-808-2115
Address: 3050 SE Division St. Suite 205 Portland OR 97202

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7. Changes to This Policy

We may update this Privacy Policy periodically. Any changes will be posted on this page with a new effective date.

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By submitting the contact form, you acknowledge that you have read and understood this Privacy Policy.

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