How information is used
Information submitted through this website is used to respond to your request and, where appropriate, to connect you with independent treatment providers. A provider may contact you using the information you provide. Please do not submit sensitive medical details you do not want to share.
Independent providers and third parties
Treatment Connect is a referral resource and is not responsible for the services, advice, availability, or practices of independent providers. Providers determine their own services, costs, and coverage participation.
Your choices and this website
You may choose not to submit information. Website content is informational only and is not medical advice. For care decisions, talk with a licensed professional who understands your circumstances.
Questions
Contact us through the contact page if you have questions about this website or the information you submitted.
Information collected
The form collects full name, phone number, email address, state, insurance response, type of help requested, optional message, consent text and timestamp, source domain, page URL, and IP address. Do not include sensitive details that are not necessary to request information.
How information may be shared
We share submitted information with independent treatment providers and the call center for the purpose of responding to the request and connecting the visitor with care. The form's consent also authorizes contact by phone, SMS, and email, including by automated technology, about treatment options.
Service providers and retention
This website uses service providers for database hosting and email delivery. We retain submitted records as needed to respond to requests, operate the referral service, meet legal obligations, and maintain security. Contact the site operator to ask about a record or privacy question.
Choices and security
You may choose not to submit the form and may instead call a listed resource. No internet transmission or storage system can be described as completely secure. Do not submit information you do not want shared with the providers described here.