DRAFT – NOT FOR PUBLICATION. This page is a scaffold prepared for Fulfilledlyf Care & Community Services LLC. It must be reviewed and approved by the client and their legal advisor before it is published. Every item in [square brackets] needs client input. Nothing here should be treated as legal advice.
1. Who we are
Fulfilledlyf Care & Community Services LLC, 3220 County Rd 10, STE 107, Brooklyn Park, MN 55429. Telephone (612) 346-3833. Email brice.sereckissy@fulfilledlyf.com.
2. What this policy covers
This policy explains how we handle information collected through this website. Health information created or received in the course of providing care is handled separately under our Notice of Privacy Practices.
3. Information we collect
When you submit a form on this website we collect the name, email address, phone number, the service you select, and any message you choose to send. [Confirm whether any analytics, advertising or tracking cookies are in use, and list them.]
4. How we use it
We use the information you submit to respond to your enquiry and to discuss the services you are asking about. [Confirm any other use, for example a mailing list.]
5. Sharing
[Confirm who information may be shared with, for example county case managers, health plans, or contracted staff, and on what basis.]6. How long we keep it
[Confirm retention period for website enquiries.]7. Your choices
You can ask us what information we hold about you, ask us to correct it, or ask us to delete it, by contacting us using the details above. [Confirm the process and response time.]
8. Changes
We will post any changes to this policy on this page. [Add effective date on approval.]
