PARENT – GUARDIAN NAME* First Last PATIENT'S NAME*Email* Phone*PATIENT STATUS*A CURRENT PATIENTA NEW PATIENTQUESTION OR COMMENT* Who we are Our website address is: http://drkylene.com. What personal data we collect and why we collect it We collect Name and Email address, Phone Number and Guardian name for the purposes of responding to inquiries and comments. Contact forms Our contact form information is not shared or sold to any third parties. It is utilized for the use of this website and to respond to inquiries. Analytics We do not share any of our analytical information and strictly use it to determine our performance in various demographic markets. Who we share your data with We do not share data with any other parties. How long we retain your data Contact form information is maintained indefinitely and not shared with any other parties. Where we send your data We do not send any data to any parties. Your contact information The information you complete on our website is maintained and used only by the owner of the webbsite for reply purposes. Additional information How we protect your data The contact information is backed up monthly and stores offsite. What data breach procedures we have in place We utilize Malware scans to ensure the integrity of this website. The Hosting company, CeraNet utilizes current standards to prevent DOS attacks and beaches. What third parties we receive data from None. What automated decision making and/or profiling we do with user data None Privacy Info* I Have Read Privacy Info Above CAPTCHA OFFICE HOURSMONDAY 9 – 5TUESDAY 9 – 4:30WEDNESDAY 9 – 4:30THURSDAY 9 – 4FRIDAY Hours Vary3663 Ridge Mill Drive Hilliard, OH 43026 (614) 527-1000