Person authorised to request the 7-Day Free Trial.
Tick all that apply.
You must tick all the above.
TERMS OF USE V1
By using our services, you acknowledge and agree to the following terms and conditions:

1. Data Collection and Storage
Our website collects information through online forms to facilitate gathering confidential medical history data for patients on behalf of subscribing medical practices. The collected data is encrypted and transferred to the subscribed Practice in an easy-to-use and readable format.
All data collected in the forms is removed from our servers once the data transfer to the end-user subscriber has been confirmed as received or within seven days of form submission.
End-user subscribers must confirm receipt of the form data immediately upon immediate receipt.
Security:
We prioritise the security and protection of user information. Our website uses the highest-level security credentials available, including SSL encryption, to safeguard the confidentiality and integrity of the data collected.

User Agreement:
Users must provide accurate and honest information on the online forms. By submitting data, users consent to collecting and processing their information for the intended purposes outlined on the website.

Confidentiality:
We are committed to maintaining the confidentiality and privacy of all data collected through our website. User information is handled in compliance with applicable data protection laws and regulations.

Subscription:
Medical practices subscribing to our Service must adhere to the terms and conditions specified on the website. Subscription terms, fees, and payment conditions are subject to change at our discretion.

Limitation of Liability:
While we take measures to ensure the security and accuracy of the data collected, users acknowledge that we cannot guarantee absolute accuracy or reliability. Users agree to use our website at their own risk.

Intellectual Property:
All content on our website is the intellectual property of the website owner and is protected by copyright laws. Users are prohibited from reproducing, distributing, or using any content without prior written consent.

Governing Law:
These terms and conditions are governed by the laws of the state of New South Wales, Australia. Any disputes arising from using our website fall under the exclusive jurisdiction of the courts in [Jurisdiction].

Changes to Terms:
We reserve the right to modify or update these terms and conditions without prior notice. Users are responsible for reviewing the terms periodically for any revisions.

Data Anomysiation
In line with our commitment to data protection and privacy, we collect only the first name and mobile phone number associated with the patient or a unique patient file ID number. This limited information ensures anonymity and confidentiality while facilitating effective data management.

Transparency
Transparency is vital in our data collection practices. We clearly state the purpose and method of data usage to users. Rest assured, we do not utilise any collected data for marketing or insurance purposes, focusing solely on the intended use for medical history documentation.

Employee Access to Data
To enhance data security, we implement two-factor authentication for all employees accessing the collected data. This additional layer of protection ensures that only authorised personnel can access and handle sensitive information.

Regular Risk Assessments
Our commitment to data security includes regular security risk assessments, privacy assessments, and administrative assessments. We meticulously identify and document any deficiencies found during these audits to address them promptly. Additionally, we audit our business associates to verify their compliance with HIPAA regulations, ensuring a comprehensive approach to data protection.

You agree to comply with these terms and conditions by accessing and using our website. If you do not agree with any of the provisions, we advise you to refrain from using our services. Thank you for choosing our website for your medical data management needs.
PRIVACY POLICY
This Privacy Policy outlines how we collect, use, and protect the information you provide when using our services.

1. Information Collection:
We collect limited information, including first names, mobile phone numbers, or unique patient file ID numbers, to facilitate medical history data documentation. This data is anonymised to protect patient identities.

2. Data Usage:
The information collected is used solely for medical history documentation and patient care coordination. We do not use the collected data for marketing or insurance-related activities.

3. Data Security:
We prioritise data security and implement two-factor authentication for all employees accessing collected information. We also conduct regular security, privacy, and administrative assessments to identify and address deficiencies promptly.

4. Business Associate Compliance:
We audit our business associates to ensure they comply with HIPAA regulations, maintaining a high standard of data protection across all aspects of our operations.

5. Transparency:
We are transparent about the reasons for collecting data and how it will be used. Users are informed of the data collection processes and the purpose behind it to foster trust and understanding.

6. Data Protection:
We are committed to protecting the confidentiality and privacy of all information collected through our website. Data is stored securely and handled following applicable data protection laws and regulations.

7. Consent:
By using our services, users consent to the collection and processing of their information for the specified purposes outlined in this Privacy Policy.

8. Changes to Policy:
We reserve the right to update or modify this Privacy Policy as needed. Users are encouraged to review this policy periodically for any revisions.

9. Contact Us:
If you have any questions or concerns regarding our Privacy Policy or data handling practices, please get in touch with us at denver@richview.com.au

By using our website, you agree to abide by the terms outlined in this Privacy Policy. Your privacy and data security are our top priorities. Thank you for choosing our website for your medical data management needs.

Onboarding Data

We require the data below to set up your 7-day free trial. No credit card is required.

You own all patient data collected. We do not store any form of data submitted to your practice.

Provide an email address for sending of the completed questionnaire..
When your patient submits the form, we will redirect them to a webpage of your choice.
Click or drag files to this area to upload. You can upload up to 2 files.
Please upload high quality practice logo image on white background and one on transparent background.
Click or drag a file to this area to upload.
Please upload high-quality images that your patients will be familiar with, such as your primary dentist's headshot. This image will appear when you share the link to the form for patients to complete. We will use your practice logo if you do not provide an image here.

7-Day Free Trial

With our seven-day free trial, you can experience the benefits of our online medical history form for dentists at no cost for the first seven days from the date of your first form submission. There's no obligation to continue after the trial period, so why not give it a try and see how we can streamline your patient intake process?

Our launch subscription pricing model is simple and transparent - you pay only 37.5 cents per form submission.