STATE CONSUMER PRIVACY RIGHTS REQUEST PORTAL


If you are an individual living in a state that has granted certain consumer privacy rights to Consumers, you may submit your request using this form. Please note, consumer privacy rights depend on the applicable state laws, which vary based on your state of residence and your relationship with FMCNA.


Please provide complete and accurate information; otherwise, we might be unable to fulfil your request. If you have multiple requests, each request must be submitted separately.


If you are a patient and seeking medical or billing records or other rights permitted by HIPAA, please contact the FMCNA health care provider or facility from which you receive care


Please note, you may opt out of emails by clicking “Unsubscribe” or notifying the sender directly.

If you have questions about this form, please email privacy@freseniusmedicalcare.com.

Myself
Someone Else
Please select the data subject's state of residence.
If you have any documentation in support of your request, or if you are an authorized agent submitting a request on behalf of a data subject, please attach the documentation using the button below.