01 / Inquiry data
The details needed for a thoughtful reply.
The EPIMELEIA inquiry form collects your name, email address, phone number, referral source, and the service you are requesting. These details help us understand how to respond to your initial question and whether EPIMELEIA may be the right resource.
02 / Storage and access
Held in the app so the right person can follow up.
The existing contact handler stores an inquiry in the EPIMELEIA app database. Access is limited to EPIMELEIA personnel who need the information to respond to the inquiry or coordinate the next step.
03 / Please keep it high-level
Do not submit medical information through this form.
Please do not include diagnoses, medications, symptoms, medical records, or any other medical information in an inquiry. The form is for a high-level description of the question or service you are considering, not for clinical records or urgent care.
04 / Confidentiality limits
A small circle, with necessary exceptions.
EPIMELEIA does not share inquiry information broadly. Confidentiality is not absolute, however: information may be accessed by hosting, database, and other necessary third-party service providers that help operate the website or handle an inquiry. Those providers may process information as part of the services they make available to EPIMELEIA.