PRIVACY REQUEST FORM
California Consumer Privacy Act (CCPA) Request Form
This form is for the submission of any consumer requests under the California Consumer Privacy Act to Ai medica and its subsidiaries and affiliates (collectively, "Ai medica"). Please complete the form below and we will respond to your inquiry promptly.
Please note, If you are a California resident, you have certain rights under the California Consumer Privacy Act, including the right to access information about or request deletion of your personal information. You also have the right to opt-out of the sale of your personal information to third parties.
Category of CCPA
Personal information categories listed in the California Customer Records statute (Cal. Civ. Code § 1798.80(e)).
Internet or other similar network activity.
Professional or employment-related information.
Inferences drawn from other Personal Information.