This form only should be used for legitimate purposes. We reserve the right to report any potential abuse to the internet crime complaint center.
About Your Privacy
This privacy notice applies solely to information collected by this website.
Conditions for Use, Information Collection, and Sharing
The forms on this website must be used only for general correspondence. You must not submit any sensitive information, such as your Social Security number or medical history, through any of the forms on this website. You may use our secure patient portal to communicate with our office for your medical needs, such as medication refills, appointment request, or reviewing your laboratory tests. The materials contained on this website are intended as a general resource of information, may not be updated at the time of your viewing and should not be used as a substitute for medical diagnosis, guidance or treatment. For such needs, you should always consult your doctor.
We will not forward your communication with any third parties except as authorized or required by law. We will use the information you submitted to contact you, regarding the reason you contacted us. Only employees who need the information to perform a specific job are granted access to the information you submit
Access To and Control Over Information
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via telephone or the email address provided below
We take reasonable precautions to protect your information. You agree not to hold Brookhaven Heart PLLC or any of its staff for network or internet infractions beyond its control. All online communications carry some level of risk. While we take all reasonable precautions to mitigate those risks, the risks are nonetheless real and important to understand. Online communications may travel beyond geographic boundaries and is easier for a third party to intercept, forward or change it without prior knowledge. Employers, internet service providers, etc. have a right to inspect and keep online communications transmitted through their system. Certain safe practices, such as using a password to log on to a computer, not storing messages on your employer provided computer, using a screen saver, logging off the computer immediately after use, using password protected personal computer or smart phone for personal communications, etc., can limit some of the above risks.