Data Collection & Use Acknowledgment

By checking this box, I acknowledge and agree to the following:

1. Collection of Personal Information. DOHMH will collect and retain personally identifiable information (PII) I provide through this platform, for as long as necessary to deliver services and meet legal/regulatory requirements.
2. Case Management Use. My information will be stored and used by DOHMH Health and Affordability Resource Team (HART) staff for the purpose of case management, service coordination, and related administrative functions.
3. Right to Request Deletion. I understand I may request deletion of my data from the DOHMH platform at any time. I understand that this deletion applies only to data held on the DOHMH's platform, and does not extend to data that has already been shared with external parties. Any data previously shared with external parties will remain subject to that party's own data retention and deletion policies, and I may need to contact them directly to request deletion of my information from their systems. I understand that DOHMH will process platform deletion requests in accordance with its data retention policy, and that some information may be retained where required by law.
4. Third-Party Data Sharing. I understand that DOHMH may share my information with external parties/vendors solely as needed to operate and deliver platform services, and that these parties are required to protect my information consistent with DOHMH's privacy standards.