Welcome to the UCLA Health privacy web form. You can use this form to make a request related to personal information that is collected when you use the UCLA Health website.


If you select “Info Request,” we will let you know what type of data has been collected and send it to you to review. If you select “Data Deletion,” we’ll delete any information that we’ve collected about you from our website.


Please note: If you are a UCLA Health patient, this does not include any information from your medical record.


For more information about how we use and protect your personal information, please view our Privacy Policy.


Thank you!

Info Request
Data Deletion
Enter the first name of the data subject
Enter the last name of the data subject
Enter email for correspondence with the data request.