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Privacy Request Form

Consumer Rights Request

Please use this form to submit your Consumer Rights Request to request that Sutter: provide access to your information; delete your information; not sell your information. You may fill out the form for yourself or someone else (e.g. a dependent or power of attorney).

 

Your protected health information (PHI) isn’t included in this request. For questions regarding how Sutter Health protects your health information, please view our Notice of Privacy Practices.

Who are you requesting this data for?
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  • Your Information: Date of Birth:

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Call (855) 771-4220 to submit a consumer rights request.

Call (855) 771-4220

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