Use this form to exercise your data privacy rights under the Washington State My Health My Data Act. Please select the appropriate action(s) and provide any requested details that might be helpful.

Washington State Consumer
Request to Delete Consumer Health Data
Request to Access Consumer Health Data
Appeal Denial of Rights Request

We are not required to obtain consent where we collect or share consumer health data from you in response to a request for a specific product or service. If you have any questions, please contact us at privacy@verita.com.

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 country of residence.
Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.
If you have any documentation in support of your request, please attach it using the button below