On this sample
No form on Clearwater Family Dental sends data anywhere. The appointment request, the reading options and the checklist all run inside your browser.
Your text-size choice, contrast choice and checklist ticks are kept in local storage on this device so they persist between pages. Clearing site data removes them.
For a real clinic
Fictional privacy notice
This demonstration form stores no appointment request. A real clinic publishes its reviewed privacy policy before collecting patient details.