Data Protection Office
Welcome to the Healthwoosh DPO Services Request Form. As part of our commitment to maintaining the highest standards of data protection and compliance, we have decided to extend the servics of Data Protection Officer (DPO) to support our ongoing efforts. This form allows you to request specialised DPO services, ensuring that any data protection inquiries or issues are addressed promptly and effectively. Before submitting a request, we encourage you to visit our FAQ Portal and or terms and policies to check if your issue has already been addressed, which is free to review directly or with your own DPO. Should you need further assistance, please fill out the form below. Upon submission, you will receive a personalised quote from our DPO, and by proceeding, you agree to our terms and conditions as outlined on our website. Thank you for your cooperation and understanding.
Pharmacy Name
*
Pharmacy Contact
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Nature of Request
Please Select
General Inquiry
Compliance Consultation
Policy Review
Data Breach Assistance
Data Protection Impact Assessment (DPIA)
Training Request
Detailed Description of Request
Be as complete and thorough as possible, list all items for a more efficient response to avoid needing subsequent responses.
Please select Product Area
App Content Editor and Terms/Policy Management
Pharmacy App
Messaging/Comms
Web Services
AI
Other Healthwoosh Service if Not Listed
One of your Third Parties or Workflow Integrations
Attach Your Own Data Controller Terms and Policies and any other documents relevant for review.
Browse Files
Drag and drop files here
Choose a file
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Have You Updated your Terms and Policies to the Data Controller to your end users
Yes
No
What Type of Support Are You Requesting
*
Clarity on Healthwoosh Model, Products or Services
Clarity on a Integration and best approach (does not succeed your Data Controller responsibility- just advices/options from our DPO you can reassess with your own)
Request for New Arrangement, and proposal options
Other
Type a question
*
Email/Written Response
Online Meeting (2 Hours min Per Event)
Half Day Discovery Session
Full Day Discovery Session (with breaks)
Multiple Days Until Resolved (will be in quote for review)
Other
For this service, you will receive a personalized quote directly from our DPO company email address fisk@healthwoosh.com via email. We advise you to first check our FAQ Portal on this website and terms and policies to see if your issue has already been addressed, which can help you save on costs. If you still require additional support, by submitting this request, you acknowledge and agree to the terms and conditions specified in this form and quoted costs you will receive by email. On payment, which can be facilitated immediately, from that email and if in agreement with dates, timelines and response approach instructed by our DPO, the service will be extended to you. None of this affects your duty as Data Controller and to seek your own advices, this is a service should you wish our experts to assist you further in your duties to your patients and end users/data subjects. Please allow up to 48 hours for response. Bugs, issues or more serious events can be logged instead via our Request Services and Support Options from our www.healthwoosh.com. Additional terms may be added to quote specific to nature of request and path offered to clarify. Acceptance is finalised a second time by agreeing to pay as offered in the proposal response.
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I Agree
These terms are extended to you in accordance with our overall service terms and conditions as detailed on our website and or per any additional contracts if agreed seperately.
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I Agree
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