Individual Privacy Rights Request Self-Service Form

To unsubscribe from Communication from GSK please select from the two options (HCP or Patient/Consumer) below. Otherwise, proceed with submitting an individual rights request further below. 


Are you a US Healthcare Professional (HCP)?


Unsubscribe from Communications | GSK Help Center


Are you a US Patient/ Consumer?


Unsubscribe from Communications | GSK Help Center

You have reached the GSK individual privacy rights request form. GSK partners with OneTrust to communicate with you about your individual privacy rights requests. Please complete the form below. Your request will be reviewed by GSK and a response will be provided using the communication channel of your choice.

Myself
For Someone Else

To ensure we are able to initiate your request, please complete your (or the individual's) specific information below.

Enter the first name of the data subject
Enter the last name of the data subject
Enter country of residence.
Please select a state
If we need additional information to process your request, how would you like to be contacted?
Email
Mailing Address

Enter the characters in the following image into the adjacent box.

If you are submitting this request on behalf of someone else (i.e., as an Authorized Agent), then you are required to provide written proof of this authorization. Please use the attachment feature below to provide this information