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Your mental health matters to us. Choose the option that best describes what you’re looking for, and let us guide you toward the right care.

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We’re here to answer your questions, listen to your concerns, and guide you through every step.

I consent to the collection, use, storage, and processing of my personal and, where applicable, health-related information, including any data I submit on behalf of others, for the purpose of evaluating or fulfilling my request made through this form. I understand this will be handled in accordance with the Privacy Notice.

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  • Don’t Hesitate to Call Us! 123-456-7890
  • For Suicide & Lifeline Crisis, call: 988

Do Not Sell or Share My Personal Information

PotterMind Psychiatry respects your privacy. We do not sell your personal information for money. Some limited information may be shared with service providers (such as analytics tools or advertising platforms), which may use it for analytics or cross-context behavioral advertising (for example, showing ads across different websites). California residents have the right to opt out of this sharing at any time.

Your Rights

If you are a California resident, you have the right to:

  • Know whether your personal information is being sold or shared.
  • Opt out of the sale or sharing of your personal information at any time.
  • Request confirmation regarding how your data is collected, used, and whether it is sold or shared

We will not discriminate against you for exercising these rights.

How We Use and Protect Information

We may share your information only in these limited circumstances:

  • Service providers who support our business operations under confidentiality and security obligations.
  • Legal or regulatory requirements when required by law.
  • Business transfers if we are involved in a merger, acquisition, or sale of assets.
  • With your consent for any other specific purpose.

We apply strict safeguards: credentials and files are stored only in approved systems, access is limited to authorized personnel, and access rights are removed when roles change.

Some analytics and advertising platforms may use activity data to deliver targeted advertising across websites. California residents can opt out of this sharing.

How to Opt Out

While we do not sell personal information for money, you may submit a request to opt out of the sharing of your information for analytics or advertising purposes, or to ensure your preferences are recorded. Contact us:

Include your full name and the contact information you used with us (such as your email address).

Updates

If our practices change, we will update this page and provide notice before selling or sharing any personal information.