I have read and agree to the terms and conditions: (check all) *

Information Collection and Use: For a better experience at Plymouth Psych Group, we may require you to provide us with certain personally identifiable information, including but not limited to your name, phone number, email address, postal address and insurance information. The information that we collect will be used to identify you, contact you, and bill you in accordance with our clinic policies. Furthermore, you may be asked to confirm and/or update this information on file once per year as long as you are a client at our clinic.

Storage and Security of Information: Once submitted, this information will be securely stored in your electronic chart and only accessed by associates of Plymouth Psych Group. We value your trust in providing us your personal information, thus we always strive to use commercially acceptable means of collecting and protecting it, however, no method of electronic transmission or electronic storage is 100% secure and reliable, therefore we cannot guarantee its absolute security.

Changes to These Terms and Conditions: We may update this from time to time and at our own discretion, so we advise you to review this page periodically for any changes. We will notify you of any changes by posting the new policy to this page.