Privacy Policy-Online Inquiry Form

Coastal Health Inc.
Effective Date: [June 9, 2026]

1. Purpose

Coastal Health Inc. is committed to protecting the privacy and confidentiality of personal information entrusted to us. This Privacy Policy outlines how we collect and use personal information gathered on the inquiry form in accordance with applicable Canadian privacy laws. Coastal Health practice privacy policy is a separate document to be reviewed upon intake and consent for services.

2. Information We Collect

We may collect personal information necessary to provide our services, including:

Personal Information

  • Name

  • Telephone number

  • Email address

Health Information

  • Referral information (Optional)

3. How We Use Personal Information

We collect, use, and disclose personal information only for purposes related to:

  • Assigning a Coastal Health Provider to set up for counselling, assessment, consultation, and related services

  • Communicating regarding initial set up for services