Welcome to Helix's Agent Web Form


Please use this form if you are an agent or legal representative submitting a request on someone else's behalf related to personal information managed by Helix.


This form allows you to exercise your individual rights under the Californica Consumer Privacy Act. Through this form, you may request any of the following: 


  • Right to Know
  • Right to Correct
  • Right to Delete


For any requests involving the following, please contact the Customer Support team who can assist you with: 


  • Accessing your Helix account
  • Accessing your results or raw data
  • Questions related to COVID-19
I am an agent
I am a legal representative
Corporate Entity
Individual
Research Participant
Marketplace Customer
COVID-19 Testing Patient
Employee / Former Employee
Contractor / Former Contractor
Job Applicant
Business Partner
Right to Know - Categories
Right to Know - Specific
Right to Delete
Right to Correct
Enter the first name of the data subject
Enter the last name of the data subject
Enter email for correspondence with the data request.
Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.
Acknowledgment

By submitting this form, I confirm that the information I have provided is accurate.

Please upload two documents: 1) A certificate of good standing with the Secretary of State and 2) Written authorization from the consumer for you to act on their behalf, in the form of a power of attorney or an authorization letter which has been either notarized or signed by two adult witnesses.