The Emotional Support Rhino                  Client Intake Form
  • The Emotional Support Rhino Client Intake Form

    Please provide your information to help me prepare for your emotion code session.
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  • The Emotional Support Rhino Privacy Policy 
    Last updated: [January 27, 2026]

    At The Emotional Support Rhino, your privacy is deeply respected. This Privacy Policy explains how we collect, use, store, and protect your personal information when you visit our website, schedule services, or participate in Emotion Code and energy-healing sessions, including remote and phone sessions.

    1. Information We Collect
    We may collect personal information that you voluntarily provide, including:
    Name
    Email address
    Phone number
    Appointment and scheduling details
    Intake and consent form responses
    Information related to your emotional or energetic well-being that you choose to share
    Information may be collected through our website, scheduling system, forms, email communication, or during sessions conducted in person, by phone, or remotely.

    2. How We Use Your Information
    Your information is used solely to:
    Schedule, confirm, and manage appointments
    Provide Emotion Code and related energy-healing services
    Conduct sessions remotely, by phone, or at a distance
    Communicate with you regarding sessions, reminders, or updates
    Maintain client records for continuity of care
    Meet legal or ethical obligations
    We do not sell, rent, or share your personal information with third parties for marketing purposes.

    3. Forms, Scheduling, and Third-Party Services
    We may use trusted third-party platforms to operate our business, including but not limited to:
    Jotform for intake and consent forms
    GoDaddy for website hosting and appointment scheduling
    Email, phone, or messaging services for communication
    These providers manage data according to their own privacy policies and security standards. While we choose reputable platforms, The Emotional Support Rhino is not responsible for the privacy practices of third-party services.

    4. Confidentiality
    All personal information and session-related details shared with The Emotional Support Rhino are treated as confidential. Information will not be disclosed to others unless required by law or with your explicit consent.

    5. Remote & Phone Session Privacy
    Emotion Code and energy-healing sessions may be conducted remotely or by phone. While we take care to maintain privacy and confidentiality, clients are responsible for choosing a private and secure location for their sessions.
    6. Data Storage and Security
    We take reasonable measures to protect your personal information from unauthorized access, misuse, loss, or disclosure. While no digital system can be guaranteed to be completely secure, we strive to use appropriate safeguards to protect your data.
    7. Cookies and Website Analytics
    Our website may use basic cookies or analytics tools to improve website functionality and user experience. These tools do not intentionally collect personally identifiable information.
    8. Your Rights
    You have the right to:
    Request access to your personal information
    Request corrections or updates
    Request deletion of your information, where applicable
    Requests can be made by contacting us using the information below.
    9. Children’s Privacy
    Our services and website are intended for adults. Services for minors under the age of 18 require the consent of a parent or legal guardian.
    10. Changes to This Policy
    This Privacy Policy may be updated periodically. Any changes will be reflected on this page with a revised effective date.

    11. Contact Information
    If you have any questions about this Privacy Policy or how your information is handled, please contact:
    Sandy Miller      540-847-3237
    Email: sandy@emotionalsupportrhino.com

     

     

    Please Sign and Date Below acknowledging that you have read the above privacy policy.

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