Myhealthform

Privacy Policy

Last updated: November 23, 2025

MyHealthForm.com (“we,” “us,” or “our”) provides a fast, simple, and compliant way for in-home caregivers to obtain state-required health screenings confirming they are “free from communicable diseases.” We take your privacy extremely seriously, especially because you are providing sensitive personal and health-related information.

This Privacy Policy explains what information we collect, how we use it, how we protect it, and the rights you have regarding your data.

By using MyHealthForm.com, you agree to the practices described in this Privacy Policy.

1. Information We Collect

We collect information in the following categories:

1.1 Personal Information

  • Name

  • Email address

  • Phone number

  • Address (if required for state verification)

  • Account login details (username, password, SMS verification)

1.2 Health-Related Information

Because MyHealthForm.com provides medical screening verification, we may collect:

  • Health screening results

  • Communicable disease clearance status

  • Date of test or screening

  • Provider verification details

  • Certificate or documentation you provide or upload

Note: MyHealthForm.com is not a covered entity under HIPAA. However, we treat your information with the same level of respect, confidentiality, and security.

1.3 Payment Information

When you make a purchase, we collect payment data through Stripe, including:

  • Card type (last 4 digits)

  • Billing zip code

  • Payment status

  • Transaction IDs

We never store or see your full credit card number.

1.4 Automatically Collected Information

  • IP address

  • Browser type

  • Device type

  • Log files

  • Pages visited

  • Actions taken on the site

We use analytics tools (like Google Analytics) for performance and security.

2. How We Use Your Information

We use your information to:

  • Process caregiver health screenings

  • Verify your identity through SMS

  • Generate official MyHealthForm health clearance documentation

  • Communicate with you (update emails, reminders, confirmations)

  • Provide support to caregivers and home care agencies

  • Improve Our Technological Platform

  • Handle billing, payments, and receipts

We may also anonymize data for statistical and compliance reporting.

We never sell or rent your personal information.

3. How Your Information Is Stored & Protected

We use modern, industry-standard security protections including:

3.1 Encryption

  • Data is encrypted in transit (HTTPS)

  • Sensitive information is encrypted at rest

3.2 Secure Authentication

  • SMS-based two-factor login

  • Secure password hashing

  • Session security and automatic expiration

3.3 Secure Infrastructure

  • Hosted on secure servers with firewall protections

  • Routine monitoring for vulnerabilities

  • Least-privilege access controls for staff

  • Regular backups and redundancy

3.4 Limited Access

Only authorized personnel who require access for verification, support, or technical reasons may view your data.

We treat all information with medical-grade confidentiality.

4. Sharing of Information

We may share your information in the following limited scenarios:

4.1 With Healthcare Providers

If you submit documentation from a licensed professional, it may be reviewed for verification.

4.2 With Home Care Agencies (ONLY With Your Permission)

If your agency has requested your clearance, we may securely provide:

  • Clearance verification

  • Your name

  • Confirmation that you are “free from communicable diseases”

  • Screening date

We never provide more information than necessary.

4.3 With Service Providers

We use trusted third-party providers for:

  • Payment processing (Stripe)

  • SMS delivery (Twilio)

  • Hosting and infrastructure

  • Analytics

  • Customer support systems

These providers are contractually obligated to protect your information.

4.4 When Required by Law

We may disclose information to comply with:

  • State caregiver registry requirements

  • Legal investigations

  • Subpoenas or government orders

We only share what is legally required.

5. Your Rights and Choices

Depending on your state, you may have the right to:

  • Access the personal information we hold about you

  • Request corrections

  • Request deletion (unless required to keep records for compliance)

  • Request a copy of your health clearance data

  • Opt out of marketing emails (we send very few)

We will respond to all requests within reasonable timeframes.

6. Data Retention

We keep information for as long as necessary to:

  • Provide your health clearance

  • Meet state compliance requirements

  • Support agency verification

  • Maintain accurate records for legal or auditing purposes

You may request deletion of your account, but certain data may need to be retained for compliance.

7. Children’s Privacy

MyHealthForm.com is not intended for individuals under 18. We do not knowingly collect information from minors.

8. Cookies and Tracking

We use cookies to:

  • Keep you logged in

  • Improve site performance

  • Analyze traffic and security

You can disable cookies through your browser settings, but certain features may not function correctly.

9. SMS Communications

By providing your phone number, you consent to:

  • Verification texts

  • Account security messages

  • Important updates related to your screening

Message and data rates may apply.

You can opt out of non-essential messages at any time.

10. Changes to This Privacy Policy

We may update this Privacy Policy occasionally. Changes will be posted on this page with a new “Last Updated” date.

Your continued use of the site means you accept the updated version.

11. Contact Us

If you have questions about this Privacy Policy or your personal information, please contact us:

MyHealthForm.com
Email: [email protected]
Website: https://myhealthform.com