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Note to User

Important Privacy Notice Regarding This Contact Form

Please note that this contact form is not HIPAA-compliant and is intended for general inquiries only. To protect your privacy, do not include any sensitive or personal health information when submitting this form. Any information you provide here will be stored directly by Squarespace, our website hosting platform, which does not offer HIPAA-compliant data storage. This form is solely used for the purpose of initiating contact. Once we receive your submission, we will respond to your inquiry using a HIPAA-compliant and secure email platform to ensure the confidentiality of any further communication. If you have questions about services, scheduling, or other concerns, please feel free to use this form—just remember to keep the message general. We look forward to connecting with you securely. If you prefer to contact us directly please email use at shehrish@restmentalhealth.com

NOTE TO USER: Please be advised that Squarespace forms are not HIPAA compliant. Even if they are linked to a secure email address, the data will be stored with Squarespace. See this notice I shared for details and suggestions on alternatives.

 

123 Demo Street
New York, NY 12345

Hours
Monday–Friday
10am–6pm