Welcome to the Privacy Web Form

You can use this form to submit a request regarding your personal information. Please complete this form and we will respond as soon as possible.

For more details and information about how we use and protect your personal information, please visit our Privacy Policy page and our California Privacy Policy page.

Thank you!

Access My Information
Delete My Member Information
Do Not Sell or Share My Information
Delete or Update My Provider Profile on the Sharecare Website
Other
Limit the Use of My Personal Sensitive Information
Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.
Enter the first name of the data subject
Enter the last name of the data subject
Enter email for correspondence with the data request.