Individual Privacy Rights Request Self-Service Form

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
On behalf of another individual

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

Please provide a valid email address for communication regarding your data request. To ensure proper authentication, kindly use a recognized email address affiliated with our organization.
Healthcare professional and other healthcare staff
Patient
Please generate an individual request for each specific right to be exercised.
Access
Erasure
Rectification
Object to processing/Withdraw consent
Restrict processing
Data portability
Object to automated decision making or profiling
Please Provide Us with More Details

We appreciate your request but will need some more information to ensure that we fulfill it properly. Please provide some more details about your request in the box below.

Enter any additional information in this section that will help us process your request. Please refrain from entering any personal information.

A verification email will be sent to the email address provided by the requestor in this web form. The requestor must click the “Confirm Email” button to verify their email address. Requests will expire after 7 days if the requestor does not verify their email address. By clicking "Accept" you are agreeing to these conditions.

Accept

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

If you have any documentation in support of your request, please attach it using the button below.