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Data Subject Rights Request Form

If you would like to be removed from our promotional communications, click on the “unsubscribe” button located at the bottom of Respin Health promotional email communications or reply “STOP” to any promotional texts we may send.

Some states in the U.S. have implemented comprehensive privacy laws that provide residents of those states with certain data subject rights.  If your state appears in the list when you click the “Please indicate the U.S. state in which you reside” box below, then your state has passed such a law. If it does not appear, then your state laws do not include these rights at this time.

To submit a request to exercise a right, please fill out the form below.

Please indicate the U.S. state in which you reside:

Please indicate the U.S. state in which you reside:

Please indicate the manner in which you interact with us:

Please indicate the manner in which you interact with us:

Type of Request

Are you acting:

Are you acting:
Please complete your contact information:
By submitting this request, I confirm the following:
(1) Accuracy: I declare under penalty of perjury under the laws of the state in which I reside, that the above information is true and correct and that I am authorized to make this request.
(2) Service Provider Role: I understand Respin Health may engage a service provider to receive, triage, manage, and document receipt of and responsive action taken pursuant to your request.
(3) Contact: Respin Health has the right to contact me to verify my identity and to process this request.
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