Types of Requests and Definitions

  • Request for Information (Request to Know). A request for information about the categories of personal information we have collected about you, the categories of sources from which we collected the personal information, the purposes for collecting the personal information, the categories of third parties with whom we have disclosed your personal information, and the purpose for which we disclosed your personal information. You may also request information about the specific pieces of personal information we have collected about you.
  • Request to Delete. A request that we delete your personal information that we have collected from you.
  • Request to Opt-Out. A request that we do not sell your personal information.
  • Request to Opt-In. If you are at least 13 years of age and less than 16 years of age you have the right to opt-in to the sale of your personal information. If you are a Consumer who is less than 13 years of age, then your parent or guardian has the right to opt-in to the sale your personal information. Also, authorization that the business may sell personal information by a consumer who had previously opted-out of the sale of their personal information.

Verification Process

This is a process to determine that the consumer making the request is the consumer about whom we have collected the personal information. In order to verify your identity to honor these requests, we may require the following information from you:

  • Request to Know Categories of Personal Information Collected: we will verify your identity by asking you to provide your name, email address, and home address.
  • Request to Know Specific Pieces of Personal Information Collected: we will verify your identity by asking you to provide your name, email address, home address, date of birth, and a signed declaration under penalty of perjury verifying your identity (see required language below).
  • Request to Delete: we will verify your identity by asking you to provide your name, email address, home address, date of birth, and a signed declaration under penalty of perjury verifying your identity (see required language below).
  • Request to Opt-Out: we will verify your identity by asking you to provide your email address.
  • Request to Opt-In: we will verify your identity by asking you your name, email address, home address, date of birth, and a signed declaration under penalty of perjury verifying your identity (see required language below).

Authorized Agents

You may use an authorized agent to exercise your rights on your behalf. If you are making any of the requests above through an authorized agent, we will request written authorization from you and will seek to verify your identity in the manners stated above (depending on the request type) or we will accept a legal Power of Attorney under the California Probate Code to the authorized agent.

Household Requests

When making a household request to know specific pieces of personal information about the household or a request to delete household personal information all of the following conditions are required:

  • All members of the household jointly request access to specific pieces of information for the household or the deletion of household personal information;
  • All members of the household are individually verified; and
  • Each member of the household making the request is currently a member of the household.

If a member of a household is a minor under the age of 13, when making a request to know specific pieces of personal information about the household or a request to delete household personal information, parental consent is required.

Consumer Request Form

Responding to Requests

We will respond to Requests to Delete and Requests to Know within 45 days, unless we need more time in which case we will notify you and may take up to 90 days total to respond to your request.

We will act upon Requests to Opt-Out within 15 days.

Additional Information

If you make a Request to Delete, we will not delete personal information on archived or backup systems until the archived or backup system is next accessed or used. We will maintain records of requests that are made that include the date of request, nature of request, manner in which the request was made, the date of our response, the nature of our response, and the basis for any denial of the request if it is denied in whole or in part.

Please indicate which request(s) you would like to make:

Provide the following information as required above under ‚ÄúVerification Process‚ÄĚ:

If a signed Declaration is required, go to Declaration Form, print and sign the form. Then forward your completed Declaration Form to CORP.PersonalInformationRequest@HCAHealthcare.com. If you have any questions please contact us by calling us at 844-422-3282.
Upon completion of this form submit your request.

Please indicate here if you are acting as an authorized agent or making a household request:

Success

This is confirmation that we received your request. We are processing your request and will contact you if more information is required. Thank you.

There was an error with the form submission.