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Rockford Pulmonary Clinic

Privacy Policy

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At our website, we are committed to protecting the privacy and confidentiality of our users. This privacy policy sets out how we will collect, use, and protect your personal information.

Collection of Personal Information: We may collect personal information from you when you create an account on our website, subscribe to our newsletter, submit a contact form, or participate in any surveys or contests. This information may include your name, email address, postal address, telephone number, and date of birth.

Use of Personal Information: We use your personal information solely to improve your user experience on our website. We may use it to send you newsletters, updates, and promotional offers. Your information may also be used to improve our services, advertising, and customer support.

Disclosure of Personal Information: We do not sell, trade or rent your personal information to any third parties, although we may disclose it to our partners or service providers who assist us in providing you with our products and services. In such cases, we will ensure that they comply with the same confidentiality standards that we follow.

Security of Personal Information: We are committed to maintaining the security and confidentiality of your personal information. We use industry-standard security technologies and procedures to protect your data from unauthorized access, misuse or disclosure.

Cookies: We may use “cookies” on our website that enables our services to recognize your browser and capture and remember certain information. We may also use third-party services such as Google Analytics to help us analyze the usage of our website.

Children’s Privacy: We do not collect personal information from children under the age of 18 years. If we have reason to believe that we have collected information from a child under the age of 18, we will take appropriate steps to delete it immediately.

Changes to Privacy Policy: We reserve the right to modify this privacy policy at any time without prior notice. Any changes will be posted on our website, and we encourage you to review this policy periodically.

Contact Us: If you have any questions, concerns, or feedback about our privacy policy, you can contact us at any time via the contact information provided on our website.

By using our website, you agree to this policy, and if you do not agree with it, you should not use our website.

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Get In Touch!

We’re here to help you breathe easier and live better. If you have questions or concerns about your respiratory health, or if you’d like to schedule an appointment with Dr. Nafsi , please don’t hesitate to us. We look forward to hearing from you and serving your pulmonary care needs.

Lung Cancer

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This questionnaire will ask a series of questions about your asthma symptoms over the last 4 weeks.

Who are you taking this test for?

How to take the Asthma Control Test™


Step 1
Answer the five questions asked. For each question, make sure you read all five possible answers before choosing the best one for you.

Step 2
Complete the test by clicking 'SUBMIT.'

Step 3
If your score is 19 or less, talk to your physician for better control of Asthma.
01

In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home?

0
02

During the past 4 weeks, how often have you had shortness of breath?

0
03

During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?

0
04

During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?

0
05

How would you rate your asthma control during the past 4 weeks?

0

Epworth Sleepiness Scale

Screen for excessive sleepiness or follow response to treatment for a sleep disorder
About:

Please answer the questions to the best of your ability. This will give us a score which is suggestive of excessive sleepiness. 

01

Chance of dozing off while sitting and reading?

0
02

Chance of dozing off while watching TV?

0
03

Chance of dozing off while Sitting, inactive in a public place?

0
04

Chance of dozing off as a passenger in a car for an hour without a break? ?

0
05

Chance of dozing off while lying down to rest in the afternoon when circumstances permit?

0
06

Chance of dozing off while sitting and talking to someone?

0
07

Chance of dozing off while sitting quietly after lunch without alcohol?

0
08

Chance of dozing off while in a car, while stopped for a few minutes in traffic?

0

Lung Cancer Screening

“*” indicates required fields
(2 packs per day for 10 years OR 1 pack per day for 20 years)

If you answered yes to all three questions, you are at high risk for lung cancer. Please contact your doctor for lung cancer screening CT chest or call RPC to schedule one.