Patient Forms | Westside PCA

Patient Forms

Download and complete the forms below before your appointment.

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Virtual Visit Technology Policy

Our Commitment to Your Privacy

Our Care Center does not record PHI in the virtual platform. Documentation is completed in the EMR with the same privacy practices as in-office visits.

Virtual Visit Technical Process

  • Technology does not store or access PHI.
  • End-to-end encryption during the session.
  • Recording is disabled for patients and providers.

Access Authentication and Security Controls

Unique credentials, per-visit keys, and the ability for providers/admins to terminate sessions.

Audit Controls

  • Failed authentication attempts are logged and monitored.
  • Configuration changes are monitored and recorded.

Transmission Security

  • Application: TLS, SRTP, AES 128-bit encryption for signaling/media.
  • Network: SOC 2 facilities, firewalls, DDoS protections.

See our Notice of Privacy Practices for more information.

Staff & office info

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