When the PHIGate endpoint opens, waitlist members hear first. One email, two selections, one checkbox. Nothing else.
Do not include protected health information anywhere on this form. The email field is the only free-entry field on this form and it is for an email address only. PHI inputs are prohibited on every PHIGate surface, and we do not solicit PHI anywhere.
The waitlist form is a closed set of fields with no narrative free-text, and the email address is its only free-entry field. Waitlist entries are retained for a maximum of 18 months, or until they are migrated into account onboarding if PHIGate access opens sooner, whichever comes first. Retention is verified on a quarterly review cycle. This notice is versioned; the version you accept with a waitlist submission is stored with your record.