Information contained within this worksheet shall be shared with persons outside of your Organization. Any information that is subject to federal or state law, including Personally Identifiable Information or Protected Health Information, should be shared in compliance with your Organizational policies and procedures. Vyne Medical disclaims responsibility for the confidentiality, security, type, nature, correctness, content, use or disclosure of information entered by Organization workforce members.  THIS WORKSHEET IS NOT PURPOSED/SECURED FOR SHARING PHI.