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  • Form Disclosure and Privacy Policy


    We collect your information to coordinate care services and improve your experience. Your data will be handled securely and used only for internal and authorized purposes. All information submitted is treated as confidential and will not be shared outside of our organization except as required by law or with your explicit consent.

    By submitting this form, you consent to receive SMS or email communications related to your care or services. You also acknowledge that the information provided may be used to facilitate service delivery and follow-up.

    Referral information provided will be used solely to contact the referred individual about our services. No promotional messages will be sent without their consent. We respect the privacy of all individuals and adhere to best practices in data protection.

    Our agency is committed to maintaining the confidentiality and security of your personal information. We follow industry standards and HIPAA-style guidelines to ensure your data is protected. For more details, please contact us directly.

    • Messaging frequency may vary.
    • Message and data rates may apply.
    • You can opt out any time by texting STOP.
    • For assistance, text HELP or visit our website at divineagape.org.
    • Visit https://app.termly.io/policy-viewer/policy.html?policyUUID=b11e5329-b811-4af7-bac7-3d4a56709483 for privacy policy and https://app.termly.io/policy-viewer/policy.html?policyUUID=93dd57e1-0eb8-42b5-a24f-0f60e276a2e6 for Terms of Service.

    By signing below, you acknowledge that you have read, understood, and agree to the terms outlined above, and that you consent to the collection and use of your information as described.

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