Privacy Request

<!DOCTYPE html>     <html class="no-js no-flex" lang="en">  <head><META http-equiv="Content-Type" content="text/html; charset=UTF-8"> <meta charset="utf-8"> <meta content="IE=edge" http-equiv="X-UA-Compatible"> <meta content="user-scalable=no, initial-scale=1.0, maximum-scale=1.0, width=device-width" name="viewport"> <meta name="last-modified" content="2021-09-08T11:38:38"> <title>Privacy Request</title> <script type="text/javascript" src="/assets/vendor/modernizr/modernizr-custom.min.js"></script><meta name="keywords" content="">   <meta name="description" content="">   <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0">   <meta name="vpath" content="">   <meta name="hr-vpath" content="/privacy/privacy-request">   <meta name="page-locale-name" content=""> <meta name="page-locale-code" content="en-us">   <link type="text/css" href="/assets/css/bootstrap-ns.min.css" rel="stylesheet">   <link type="text/css" href="/assets/css/bootstrap-ns.min.css.map" rel="stylesheet">   <link type="text/css" href="/assets/css/main.min-v3.css" rel="stylesheet">   <link type="text/css" href="/assets/css/print.min.css" rel="stylesheet">   <link type="text/css" href="/assets/css/common.css" rel="stylesheet">   <script type="text/javascript" src="/assets/vendor/modernizr/modernizr-custom.min.js"></script>  <meta name="page-brand" content="" /> <meta name="page-display" content="global" /> <meta name="page-type" content="" /> <link rel="canonical" href="https://www.sutterhealth.org/privacy/privacy-request"/> <meta name="robots" content="INDEX, FOLLOW" /> <script> var getCookie = document.cookie.split(';').filter(function(item) { return item.trim().indexOf('_acceptsEssential=') == 0 }); var getChatCookie = document.cookie.split(';').filter(function(item, cookie) { return item.trim().indexOf('_acceptsNonEssential=') == 0 }); var allowCookies = getCookie.length ? getCookie[0].split('=')[1] : "false"; var allowChat = getChatCookie.length ? getChatCookie[0].split('=')[1] : "false"; </script>  <script type="text/javascript" src="/assets/js/webtrends_sutterhealth.js"></script>  </head> <body class="default"> <script></script> <dialog id="cookieAgreement" class="cookie-request modal" role="alertdialog" aria-labelledby="cookiePopupTitle" aria-describedby="cookiePopupDesc" aria-hidden="false"> <div class="cookie-request__container modal-dialog-centered" role="document"> <div class="cookie-content"> <h1 id="cookiePopupTitle" class="cookie-content__header visuallyhidden" data-uw-rm-heading="level" role="heading" aria-level="1">Cookie Policy</h1> <div id="cookiePopupDesc"> <p class="cookie-content__desc top">To improve your website experience, we use cookies and other tracking technologies and may share data with service providers.</p> <p class="cookie-content__desc">By clicking 'Accept', you agree to the collection of data and use of these tracking technologies as described in our <a href="https://www.sutterhealth.org/privacy/privacy-policy" target="_blank" rel="external">Privacy Policy<span class="visuallyhidden">Opens new window</span></a>. Select 'Decline' for essential cookies only.</p> </div> <div class="cookie-content__footer"> <button type="button" class="accept-cookie-policy close-dialog btn btn-secondary" data-toggle="modal" data-target="#cookieAgreement" aria-label="Accept">Accept</button> <button type="button" class="reject-cookie-policy close-dialog btn btn-tertiary" data-toggle="modal" data-target="#cookieAgreement" aria-label="Decline">Decline</button> <a href="/privacy/cookie-preference" target="_blank">Customize Your Preferences <span class="visuallyhidden">Opens new window</span></a> </div> </div> </div> </dialog><div class="ls-canvas container nav-max-height" id="wrapper"> <div class="ls-row menu-transition-wrap" id="ls-row-1"> <div id="header"> <div id="w1574100168932"><script> var suggestURL = "/widgets/suggest?format=json"; var geolocated = ""; var brand = ""; var display = "global"; var prevBrand = ""; var coords = ""; var brandDisplay = ""; </script><noscript> <section class="section global-alert red browser " data-controller="global-alert"> <div class="grid-construct"> <div class="global-alert__content"> <div class="global-alert__copy"> <div class="global-alert__title">Error was Detected</div> <div class="global-alert__lead teal"> Your browser doesn't support JavaScript code, or you have disabled JavaScript. </div> </div> </div> </div> </section></noscript><p><a href="#content" id="jumpToContent">Jump to content</a></p><div class="header_v2"> <section data-controller="locate" class="locate-section-top redesign js-geo-reload"> <div class="grid-construct locate-section"> <div class="locate-section-top__mobile"> <ul class="helpers"> <li class="helpers__action"><a href="#changelocation" class="js-change-location" aria-expanded="false" aria-selected="false"><span class="icon icon-icon-geolocate"></span><span class="location-name-mobile">Set Your Location</span></a></li> <li class="helpers__action"><a class="location-sign-in-button" href="https://myhealthonline.sutterhealth.org/mho/Authentication/Login" target="_blank" rel="external"><span class="js-locate-icon icon im-icon icon-profile1"></span>Sign in or Enroll</a></li> </ul> </div> <div class="locate-bar"> <div class="my-loc"> <div class="my-location"><a href="#" class="js-change-location" aria-expanded="false" aria-selected="false"><span class="im-icon icon-map-pin1"></span><span class="visuallyhidden">Set Your Location</span><span class="location-name">Set Your Location</span><span class="im-icon icon-down-arrow align-middle"></span></a></div> </div> <div data-controller="global-search-v2" class="locate-tools"> <ul class="header-buttons header-buttons--tools js-header-buttons--tools"> <li><a href="/find-doctor">Find a Doctor</a></li> <li><a href="/find-location">Find a Location</a></li> <li class="hide_optional_lk"><a href="/giving/give-now">Donate Now</a></li> <li class="header-buttons--sign-in myaccount_btn dropdown"><a class="location-sign-in-button" href="javascript:;" data-toggle="dropdown"><span class=" icon icon-profile1"></span><span class="header-buttons__copy">Patient Login</span><span class="im-icon icon-down-arrow align-middle"></span></a><div class="topbar_dropdowns dropdown-menu"> <ul> <li><a href="https://myhealthonline.sutterhealth.org/mho/Authentication/Login">Sign In to My Health Online</a></li> <li><a href="/myhealthonline/enroll">Enroll in My Health Online</a></li> <li><a href="/myhealthonline">Learn About My Health Online</a></li> </ul> </div> </li> <li class="pos_rel"> <form id="global-search-form" class="global-search-form" action="/search" method="get" role="search"> <div class="input-group"><input name="q" id="global-search__query" form="global-search-form" placeholder="Search" class="js-global-search-focus top-search-box" autocomplete="off" maxlength="30" type="search"><label for="global-search__query" class="global-search__input-label visuallyhidden">Enter a search term:</label><div class="input-group-append"><button class="top-search-button disabled" disabled="true" title="Go" type="submit"><span class="im-icon icon-search top-search-icon"></span></button></div> </div> </form> <div class="global-search__results"> <div class="grid-construct"> <div class="global-search__results_content js-global-search-results"></div> </div> <div class="view_all_btn"><a class="btn btn-secondary" href="#">View all results<span class="visuallyhidden">for <span class="search_term_highlight"></span></span></a></div> </div> </li> </ul> </div> </div> </div> <div class="grid-construct"> <div class="change-loc" id="ChangeLocation"> <ul> <li> <ul class="location-form hidden" aria-hidden="true" aria-expanded="false"> <li class="location-top" data-controller="location-typeahead"> <form class="change-location__form" method="post" data-controller="form-validation" action="/privacy/privacy-request"><label for="location-field" class="visuallyhidden">Enter City or Zip</label><input id="coord" type="hidden" name="gcoord" data-geo-type="coord" data-type="coord"><input id="location-field" type="text" class="js-required map-auto-complete location-field" data-geo-type="location" placeholder="City or Zip" name="glocation"><input name="gloc" type="hidden" value="true"><button type="button" class="js-geolocate geolocate">Geolocate</button><button class="cta--form-submit btn btn-secondary js-locate-submit">Make this my location</button></form><a rel="nofollow" class="modal-toggle choose_location_open-overlay" href="/widgets/change-brand" data-toggle="modal" data-load-div="change-location__section" data-target="#changeLocationModal" id="chooseLocation"><span class="js-expand-copy visuallyhidden">Open </span> Choose a medical group or hospital </a></li> <li class="location-bottom"> <form class="clear-location__form" action="/widgets/clear-location" method="post"><a class="js-clear-location" href="#">Clear my location</a></form> </li> </ul> </li> </ul> </div> </div> </section> <div class="modal fade" id="changeLocationModal" tabindex="-1" role="dialog" aria-labelledby="changeLocationModalTitle" aria-hidden="true"> <div class="modal-dialog modal-lg" role="document"> <div class="modal-content"> <div class="modal-header border-bottom-0 pb-0"> <h3 class="modal-title visuallyhidden sr-only" id="changeLocationModalTitle">Change Location</h3><button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">X</span></button></div> <div class="modal-body pt-0 load" data-current-page="/"></div> </div> </div> </div> <header class="global-header primary speditable" role="banner" data-dcrs="" data-controller="mainNav-v2"> <div class="global-header__container grid-construct"> <div class="top-container"> <div class="global-header__container--logo logo sutter-health"><a href="/" class="icon-sutter-logo--mobile ir" aria-label="Sutter Health Home Page"> <h1>Sutter Health</h1></a></div> <div class="global-header__container--helpers"> <ul class="helpers"> <li class="book_btn appointment_btn_mobile hide_desktop hide_mobile_xs"><a href="javascript:;" class="btn btn-secondary">BOOK APPOINTMENT</a></li> <li class="helpers__action appointment_icon_btn"><a href="javascript:;" class="appointment_btn_mobile"><img src="/assets/img/header/calendar.svg" alt="Book Appointment"></a></li> <li class="helpers__action li_profile_btn hide_desktop"><a href="javascript:;" id="profile_btn_mobile"><img src="/assets/img/header/profile.svg" alt="Profile"></a></li> <li class="helpers__action"><button class="menu-button button--header button--header--menu js-menu-button" title="Open Menu"><span class="menu-text visuallyhidden">MENU</span><span class="icon icon-icon-hamburger"></span><span class="visuallyhidden">Open Menu</span></button></li> </ul> </div> </div> <div class="topsheet_mobile topsheet_mobile_md" id="appointment_dropdown_mobile"> <div class="topsheet_mobile_inner"> <h3 class="submenu_title">Book Appointment</h3> <div class="appointment_list"><a href="/appointments?type=walkincare" class="appointment_item"><img src="/assets/img/header/banner-wic.jpg" alt="Sutter Walk-In Care location"><div> <h6>Walk-In Care</h6> <p>In-person care for minor illnesses.</p> </div></a><a href="/appointments?type=urgentcare" class="appointment_item"><img src="/assets/img/header/banner-uc.jpg" alt="Sutter Urgent Care location"><div> <h6>Urgent Care</h6> <p>In-person care for moderate illnesses and injuries.</p> </div></a><a href="/appointments?type=videovisits" class="appointment_item"><img src="/assets/img/header/banner-video-visits.jpg" alt="Video visit with doctor"><div> <h6>Video Visits</h6> <p>Virtual care with a Walk-In Care clinician.</p> </div></a><a href="/appointments?type=primarycare" class="appointment_item"><img src="/assets/img/header/banner-primary-care.jpg" alt="Family with new baby"><div> <h6>Primary Care</h6> <p>Ongoing care and wellness for everyone.</p> </div></a><a href="/appointments?type=covid-flu" class="appointment_item"><img src="/assets/img/header/banner-covid.jpg" alt="Woman getting vaccine"><div> <h6>COVID-19 and Flu</h6> <p>Resources for vaccination and boosters.</p> </div></a></div> </div> </div> <div class="topsheet_mobile" id="profile_dropdown_mobile"> <div class="topsheet_mobile_inner"> <h3 class="submenu_title">Patient Login</h3> <ul> <li><a href="https://myhealthonline.sutterhealth.org/mho/Authentication/Login">Sign In to My Health Online</a></li> <li><a href="/myhealthonline/enroll">Enroll in My Health Online</a></li> <li><a href="/myhealthonline">Learn About My Health Online</a></li> </ul> </div> </div> <div class="global-header__container--nav desktop "> <ul class="nav_links"> <li class="has_dropdown"><a href="javascript:;">Patients and Visitors</a><div class="megamenu_section dropdown-menu desktop_patients_dropdown"> <div class="row_custom gx_32"> <div class="col_xl_3 border-right"> <div class="menu_card"> <h2>Patients and Visitors</h2> <p>Get personalized, coordinated care across Northern California through the Sutter network.</p><a href="/for-patients" class="text_btn">View Patient Resources</a><div class="menu_card_box menu_card_box_with_img mt-5"> <div class="menu_card_overlay"> <h3>My Health Online</h3> <p>Make appointments, message your doctor and more through our patient portal.</p><a class="btn btn-primary" href="/myhealthonline/enroll">Enroll Now</a></div> </div> </div> </div> <div class="col_xl_3 border-right"> <div class="menu_with_icons"> <ul> <li><a href="/find-doctor"><span class="icon icon-doctor"></span>Find a Doctor</a></li> <li><a href="/find-location"><span class="icon icon-walk-in-care"></span>Find a Location</a></li> <li><a href="/services"><span class="icon icon-bandaid"></span>View All Services</a></li> <li><a href="/for-patients/request-medical-record"><span class="icon icon-medical-file"></span>Request Records</a></li> <li><a href="/for-patients/billing-insurance"><span class="icon icon-credit-card1"></span>Pay a Bill</a></li> </ul> </div> </div> <div class="col_xl_3 border-right"> <div class="simple_menus"> <h3 class="submenu_title">Patient Resources</h3> <ul> <li><a href="/contact-us">Contact Us</a></li> <li><a href="/for-patients">Patient and Visitor Information</a></li> <li><a href="/myhealthonline">My Health Online Patient Portal</a></li> <li><a href="/classes-events">Classes and Events</a></li> <li><a href="/for-medical-professionals/sutter-specialty-network">Doctor Referrals</a></li> <li><a href="/health">Health and Wellness</a></li> <li><a href="/for-patients/flu-covid-19-resources">COVID-19 and Flu Resources</a></li> </ul> </div> </div> <div class="col_xl_3"> <div class="simple_menus"> <h3 class="submenu_title">Billing and Insurance</h3> <ul> <li><a href="/for-patients/billing-insurance">Pay a Bill</a></li> <li><a href="/health-plan">Accepted Health Plans</a></li> <li><a href="/for-patients/health-care-costs-and-charges">Cost Estimates/Charges</a></li> <li><a href="/for-patients/medicare">Medicare Advantage</a></li> <li><a href="http://www.sutterhealthplus.org/">Sutter Health Plus</a></li> </ul> </div> </div> </div> </div> </li> <li class="has_dropdown"><a href="javascript:;">Treatments and Services</a><div class="megamenu_section dropdown-menu desktop_treatments_dropdown"> <div class="row_custom gx_32"> <div class="col_xl_3 border-right"> <div class="menu_card"> <h2>Treatments and Services</h2> <p>Access <a href="/about/awards">award-winning</a>, comprehensive primary and specialty care for your whole family.</p><a href="/services" class="text_btn">View All Services</a><div class="menu_card_box mt-5"> <h3>Schedule a Visit</h3> <p>Convenient care options for your everyday health needs.</p><a class="btn btn-primary" href="/appointments">Book Appointment</a></div> </div> </div> <div class="col_xl_3 border-right"> <div class="menu_with_icons"> <h3 class="submenu_title">Get Care</h3> <ul> <li><a href="/appointments?type=primarycare"><span class="icon icon-doctor"></span>Primary Care</a></li> <li><a href="/video-visits"><span class="icon icon-video-visit"></span>Video Visits</a></li> <li><a href="/appointments?type=walkincare"><span class="icon icon-walk-in-care"></span>Walk-In Care</a></li> <li><a href="/appointments?type=urgentcare"><span class="icon icon-urgent-care1"></span>Urgent Care</a></li> <li><a href="/location-search?location-type=emergency-rooms"><span class="icon icon-ambulance"></span>Emergency Care</a></li> </ul> </div> </div> <div class="col_xl_3"> <div class="simple_menus"> <h3 class="submenu_title">Featured Services</h3> <ul> <li><a href="/services/behavioral-health">Mental Health </a></li> <li><a href="/services/pregnancy-childbirth">Pregnancy and Childbirth </a></li> <li><a href="/services/imaging">Imaging</a></li> <li><a href="/services/pediatric">Pediatrics</a></li> <li><a href="/services/orthopedic">Orthopedics</a></li> <li><a href="/services/cancer">Cancer</a></li> <li><a href="/services/heart-vascular">Heart and Vascular</a></li> </ul> </div> </div> <div class="col_xl_3"> <div class="simple_menus"> <h3> </h3> <ul> <li><a href="/services/dermatology">Dermatology</a></li> <li><a href="/services/physical-therapy-rehabilitation">Physical Therapy</a></li> <li><a href="/services/ear-nose-throat">Ear, Nose, and Throat (ENT)</a></li> <li><a href="/services/lab-pathology">Labs</a></li> <li><a href="/services/urology">Urology</a></li> <li><a href="/services/neuroscience">Neuroscience</a></li> <li><a href="/services/gynecology-womens-health">Women's Health (OB/GYN)</a></li> <li class="view_all"><a href="/services">View All Services</a></li> </ul> </div> </div> </div> </div> </li> <li class="has_dropdown"><a href="javascript:;">Research and Education</a><div class="megamenu_section dropdown-menu desktop_research_dropdown"> <div class="row_custom gx_32"> <div class="col_xl_4 border-right"> <div class="menu_card"> <h2>Research and Education</h2> <p>Our contributions to medical research and education lead to better healthcare outcomes.</p><a href="/research" class="text_btn">Research at Sutter</a><div class="menu_card_box menu_card_box_with_img mt-5"> <div class="menu_card_overlay"> <h3>Graduate Medical Education</h3> <p>Join our robust training programs led by nationally known healthcare leaders.</p><a class="btn btn-primary" href="https://www.suttermd.com/education">Explore Opportunities</a></div> </div> </div> </div> <div class="col_xl_4 border-right"> <div class="menu_with_icons"> <h3 class="submenu_title">Research</h3> <ul> <li><a href="/research/clinical-trials"><span class="icon icon-dna"></span>Clinical Trials</a></li> <li><a href="/research-search?result-type=study"><span class="icon icon-microscope"></span>Research Studies</a></li> <li><a href="/research-search?result-type=publication"><span class="icon icon-Form"></span>Publications</a></li> <li><a href="/research/investigators"><span class="icon icon-search1"></span>Investigators</a></li> </ul> </div> </div> <div class="col_xl_4"> <div class="simple_menus"> <h3 class="submenu_title">Education</h3> <ul> <li><a href="https://www.suttermd.com/education">Residencies and Fellowships </a></li> <li><a href="https://www.suttermd.com/education/cme">Continuing Medical Education </a></li> </ul> </div> </div> </div> </div> </li> <li class="has_dropdown"><a href="javascript:;">About Sutter</a><div class="megamenu_section dropdown-menu desktop_about_dropdown"> <div class="row_custom gx_32"> <div class="col_xl_3 border-right"> <div class="menu_card"> <h2>About Us</h2> <p>Explore the ways we provide innovative, compassionate care through our network.</p><a href="/about" class="text_btn">Learn About Sutter Health</a><div class="menu_card_box menu_card_box_with_img mt-5"> <div class="menu_card_overlay"> <h3>Work at Sutter Health</h3> <p>Shape the future of healthcare and build your career within our diverse teams.</p><a class="btn btn-primary" href="/jobs">Find Jobs</a></div> </div> </div> </div> <div class="col_xl_3 border-right"> <div class="simple_menus"> <h3 class="submenu_title">About Sutter Health</h3> <ul> <li><a href="/about">About Us</a></li> <li><a href="/about/diversity-inclusion">Diversity and Inclusion</a></li> <li><a href="/about/awards">Awards and Honors</a></li> <li><a href="/about/leadership">Leadership</a></li> <li><a href="/annualreport">Annual Report</a></li> <li><a href="https://vitals.sutterhealth.org/">News and Media</a></li> <li><a href="/patient-stories">Patient Stories</a></li> <li><a href="/business-units">Business Programs</a></li> </ul> </div> </div> <div class="col_xl_3 border-right"> <div class="simple_menus"> <h3 class="submenu_title">Community</h3> <ul> <li><a href="/giving">Giving</a></li> <li><a href="/volunteering">Volunteer With Us</a></li> <li><a href="/community-benefit">Community Benefit</a></li> </ul> </div> </div> <div class="col_xl_3"> <div class="simple_menus"> <h3 class="submenu_title">Careers</h3> <ul> <li><a href="/jobs">Jobs at Sutter</a></li> <li><a href="/physician-opportunities">Physician Opportunities</a></li> <li><a href="https://www.suttermd.com/education">Residencies and Fellowships</a></li> </ul> </div> </div> </div> </div> </li> <li class="book_btn book_btn_with_icon"><a href="/appointments" class="btn btn-secondary hide_mb"><span>BOOK APPOINTMENT</span></a><a href="javascript:;" class="hide_desktop appointment_btn_mobile"><img src="/assets/img/header/calendar.svg" alt="Book Appointment"></a></li> </ul> </div> <nav class="header-nav mobile_sidemenu_wrapper" aria-hidden="true"> <div class="mobile_side_menu"> <div class="mobile_side_menu_header"> <div class="logo_area"><a href="/" title="Sutter Health" class="ir">Sutter Health</a></div><button class="menu-button js-menu-button" aria-label="Close Menu"><span class="icon icon-cross"></span></button></div> <div class="mobile_menu_links"> <ul> <li><a href="javascript:;" id="patient_visitor">Patients and Visitors</a></li> <li><a href="javascript:;" id="treatments_services">Treatments and Services</a></li> <li><a href="javascript:;" id="research_education">Research and Education</a></li> <li><a href="javascript:;" id="about_sutter">About Sutter</a></li> </ul> <div class="mobile_menu_boxes"><a href="/find-doctor"><span>Find a Doctor</span><span class="im-icon button-icon icon-doctor"></span></a><a href="/find-location"><span>Find a Location</span><span class="im-icon button-icon icon-walk-in-care"></span></a><a href="/contact-us"><span>Contact Us</span><span class="im-icon button-icon icon-phone"></span></a><a href="/giving/give-now"><span>Donate Now</span><span class="im-icon button-icon icon-gift2"></span></a></div> <div class="book_btn"><a class="btn btn-secondary" href="/appointments">BOOK APPOINTMENT</a></div> </div> <div class="mobile_side_menu_footer"> <ul> <li><a href="https://myhealthonline.sutterhealth.org/mho/Authentication/Login"><img src="/assets/img/header/profile1.svg" alt="My Health Online Patient Login">My Health Online Patient Login </a></li> <li><a href="javascript:;" class="open_mobile_location js-change-location-mobile"><img src="/assets/img/header/map-pin.svg" alt="Set My Location"><span class="location-name-mobile">Set My Location</span></a></li> </ul><button type="button" class="search_box_btn open_mobile_search" aria-label="Open Search Input"> <div class="input_act">Search</div><span class="im-icon icon-search top-search-icon"></span></button></div> </div> </nav> <div class="mobile_submenu mobile_sidemenu_wrapper" id="mobile_sidebar_patients"> <div class="mobile_side_menu"> <div class="mobile_side_menu_header"><button class="menu-button mobile_backbtn" aria-label="Go Back"><img src="/assets/img/header/down-icon.svg" alt=""></button><div class="logo_area"><a href="/" title="Sutter Health" class="ir">Sutter Health</a></div><button class="menu-button close_all_menus" aria-label="Close Menu"><span class="icon icon-cross"></span></button></div> <div class="mobile_submenu_links"> <div class="menu_with_icons"> <ul> <li><a href="/find-doctor"><span class="icon icon-doctor"></span>Find a Doctor</a></li> <li><a href="/find-location"><span class="icon icon-walk-in-care"></span>Find a Location</a></li> <li><a href="/services"><span class="icon icon-bandaid"></span>View All Services</a></li> <li><a href="/for-patients/request-medical-record"><span class="icon icon-medical-file"></span>Request Records</a></li> <li><a href="/for-patients/billing-insurance"><span class="icon icon-credit-card1"></span>Pay a Bill</a></li> </ul> </div> <div class="simple_menus mb_30"> <h3 class="submenu_title">Patient Resources</h3> <ul> <li><a href="/contact-us">Contact Us</a></li> <li><a href="/for-patients">Patient and Visitor Information</a></li> <li><a href="/myhealthonline">My Health Online Patient Portal</a></li> <li><a href="/classes-events">Classes and Events</a></li> <li><a href="/for-medical-professionals/sutter-specialty-network">Doctor Referrals</a></li> <li><a href="/health">Health and Wellness</a></li> <li><a href="/for-patients/flu-covid-19-resources">COVID-19 and Flu Resources</a></li> </ul> </div> <div class="simple_menus mb_30"> <h3 class="submenu_title">Billing and Insurance</h3> <ul> <li><a href="/for-patients/billing-insurance">Pay a Bill</a></li> <li><a href="/health-plan">Accepted Health Plans</a></li> <li><a href="/for-patients/health-care-costs-and-charges">Cost Estimates/Charges</a></li> <li><a href="/for-patients/medicare">Medicare Advantage</a></li> <li><a href="http://www.sutterhealthplus.org/">Sutter Health Plus</a></li> </ul> </div> <div class="menu_card"> <h2>Patients and Visitors</h2> <p>Get personalized, coordinated care across Northern California through the Sutter network.</p><a href="/for-patients" class="text_btn">View Patient Resources</a><div class="menu_card_box menu_card_box_mobile menu_card_box_with_img mt-4"> <h3>My Health Online</h3> <p>Make appointments, message your doctor and more through our patient portal.</p><a class="btn btn-primary" href="/myhealthonline/enroll">Enroll Now</a></div> <div class="menu_card_box menu_card_box_tablet mt-4"> <div class="card_img"><img src="/assets/img/header/cta-mho-app.jpg" alt="Patient" class="img-fluid"></div> <div class="card_content"> <h3>My Health Online</h3> <p>Make appointments, message your doctor and more through our patient portal.</p><a class="btn btn-primary" href="/myhealthonline/enroll">Enroll Now</a></div> </div> </div> </div> </div> </div> <div class="mobile_submenu mobile_sidemenu_wrapper" id="mobile_sidebar_treatment"> <div class="mobile_side_menu"> <div class="mobile_side_menu_header"><button class="menu-button mobile_backbtn" aria-label="Go Back"><img src="/assets/img/header/down-icon.svg" alt=""></button><div class="logo_area"><a href="/" aria-label="Sutter Health Home Page" class="ir">Sutter Health</a></div><button class="menu-button close_all_menus" aria-label="Close Menu"><span class="icon icon-cross"></span></button></div> <div class="mobile_submenu_links"> <div class="menu_with_icons"> <h3 class="submenu_title">Get Care</h3> <ul> <li><a href="/appointments?type=primarycare"><span class="icon icon-doctor"></span>Primary Care</a></li> <li><a href="/video-visits"><span class="icon icon-video-visit"></span>Video Visits</a></li> <li><a href="/appointments?type=walkincare"><span class="icon icon-walk-in-care"></span>Walk-In Care</a></li> <li><a href="/appointments?type=urgentcare"><span class="icon icon-urgent-care1"></span>Urgent Care</a></li> <li><a href="/location-search?location-type=emergency-rooms"><span class="icon icon-ambulance"></span>Emergency Care</a></li> </ul> </div> <div class="simple_menus mb_30"> <h3 class="submenu_title">Featured Services</h3> <ul> <li><a href="/services/behavioral-health">Mental Health</a></li> <li><a href="/services/pregnancy-childbirth">Pregnancy and Childbirth</a></li> <li><a href="/services/imaging">Imaging</a></li> <li><a href="/services/pediatric">Pediatrics</a></li> <li><a href="/services/orthopedic">Orthopedics</a></li> <li><a href="/services/cancer">Cancer</a></li> <li><a href="/services/heart-vascular">Heart and Vascular</a></li> <li><a href="/services/dermatology">Dermatology</a></li> <li><a href="/services/physical-therapy-rehabilitation">Physical Therapy</a></li> <li><a href="/services/ear-nose-throat">Ear, Nose, and Throat (ENT)</a></li> <li><a href="/services/lab-pathology">Labs</a></li> <li><a href="/services/urology">Urology</a></li> <li><a href="/services/neuroscience">Neuroscience</a></li> <li><a href="/services/gynecology-womens-health">Women's Health (OB/GYN)</a></li> </ul> </div> <div class="menu_card"> <h2>Treatments and Services</h2> <p>Access <a href="/about/awards">award-winning</a>, comprehensive primary and specialty care for your whole family.</p><a href="/services" class="text_btn">View All Services</a><div class="menu_card_box mt-5"> <h3>Schedule a Visit</h3> <p>Convenient care options for your everyday health needs.</p><a class="btn btn-primary" href="/appointments">Book Appointment</a></div> </div> </div> </div> </div> <div class="mobile_submenu mobile_sidemenu_wrapper" id="mobile_sidebar_research"> <div class="mobile_side_menu"> <div class="mobile_side_menu_header"><button class="menu-button mobile_backbtn" aria-label="Go Back"><img src="/assets/img/header/down-icon.svg" alt=""></button><div class="logo_area"><a href="/" aria-label="Sutter Health Home Page" class="ir">Sutter Health</a></div><button class="menu-button close_all_menus" aria-label="Close Menu"><span class="icon icon-cross"></span></button></div> <div class="mobile_submenu_links"> <div class="menu_with_icons"> <h3 class="submenu_title">Research</h3> <ul> <li><a href="/research/clinical-trials"><span class="icon icon-dna"></span>Clinical Trials</a></li> <li><a href="/research-search?result-type=study"><span class="icon icon-microscope"></span>Research Studies</a></li> <li><a href="/research-search?result-type=publication"><span class="icon icon-Form"></span>Publications</a></li> <li><a href="/research/investigators"><span class="icon icon-search1"></span>Publications</a></li> </ul> </div> <div class="simple_menus mb_30"> <h3 class="submenu_title">Education</h3> <ul> <li><a href="https://www.suttermd.com/education">Residencies and Fellowships</a></li> <li><a href="https://www.suttermd.com/education/cme">Continuing Medical Education</a></li> </ul> </div> <div class="menu_card"> <h2>Research and Education </h2> <p> Our contributions to medical research and education lead to better healthcare outcomes.</p><a href="/research" class="text_btn">Research at Sutter</a><div class="menu_card_box menu_card_box_mobile menu_card_box_with_img mt-5"> <h3>Graduate Medical Education </h3> <p>Join our robust training programs led by nationally known healthcare leaders.</p><a class="btn btn-primary" href="https://www.suttermd.com/education">Explore Opportunities</a></div> <div class="menu_card_box menu_card_box_tablet mt-4"> <div class="card_img"><img src="/assets/img/header/cta-new-doctors.jpg" alt="Research" class="img-fluid"></div> <div class="card_content"> <h3>Graduate Medical Education</h3> <p>Join our robust training programs led by nationally known healthcare leaders.</p><a class="btn btn-primary" href="https://www.suttermd.com/education">Explore Opportunities</a></div> </div> </div> </div> </div> </div> <div class="mobile_submenu mobile_sidemenu_wrapper" id="mobile_sidebar_about"> <div class="mobile_side_menu"> <div class="mobile_side_menu_header"><button class="menu-button mobile_backbtn" aria-label="Go Back"><img src="/assets/img/header/down-icon.svg" alt=""></button><div class="logo_area"><a href="/" aria-label="Sutter Health Home Page" class="ir">Sutter Health</a></div><button class="menu-button close_all_menus" aria-label="Close Menu"><span class="icon icon-cross"></span></button></div> <div class="mobile_submenu_links"> <div class="simple_menus mb_30"> <h3 class="submenu_title">About Sutter Health</h3> <ul> <li><a href="/about">About Us </a></li> <li><a href="/about/diversity-inclusion">Diversity and Inclusion</a></li> <li><a href="/about/awards">Awards and Honors</a></li> <li><a href="/about/leadership">Leadership</a></li> <li><a href="/annualreport">Annual Report</a></li> <li><a href="https://vitals.sutterhealth.org/">News and Media</a></li> <li><a href="/patient-stories">Patient Stories</a></li> <li><a href="/business-units">Business Programs</a></li> </ul> </div> <div class="simple_menus mb_30"> <h3 class="submenu_title">Community</h3> <ul> <li><a href="/giving">Giving</a></li> <li><a href="/volunteering">Volunteer With Us</a></li> <li><a href="/community-benefit">Community Benefit</a></li> </ul> </div> <div class="simple_menus mb_30"> <h3 class="submenu_title">Careers</h3> <ul> <li><a href="/jobs">Jobs at Sutter </a></li> <li><a href="/physician-opportunities">Physician Opportunities</a></li> <li><a href="https://www.suttermd.com/education">Residencies and Fellowships</a></li> </ul> </div> <div class="menu_card"> <h2>About Us</h2> <p>Explore the ways we provide innovative, compassionate care through our network.</p><a href="/about" class="text_btn">Learn About Sutter Health</a><div class="menu_card_box menu_card_box_mobile menu_card_box_with_img mt-5"> <h3>Work at Sutter Health </h3> <p>Shape the future of healthcare and build your career within our diverse teams.</p><a class="btn btn-primary" href="/jobs">Find Jobs</a></div> <div class="menu_card_box menu_card_box_tablet mt-4"> <div class="card_img"><img src="/assets/img/header/cta-sutter-employees.jpg" alt="Career" class="img-fluid"></div> <div class="card_content"> <h3>Work at Sutter Health</h3> <p>Shape the future of healthcare and build your career within our diverse teams.</p><a class="btn btn-primary" href="/jobs">Find Jobs</a></div> </div> </div> </div> </div> </div> <div class="mobile_search_modal"> <div class="mobile_search_inner"> <div class="input_area"> <section class="global-search-mobile hidden focusable" data-brand="" data-ps-brand="" data-controller="global-search-mobile-v2"> <div class="grid-construct"> <div class="global-search__content"> <div class="global-search__content_form"> <form class="global-search-form" action="/search" method="get"><label for="global-mobile-search__query" class="global-search__input-label visuallyhidden">Search</label><input name="q" id="global-mobile-search__query" placeholder="" type="search" form="global-search-form" class="global-search-form__input js-global-search-focus" disabled autocomplete="off" maxlength="30"><div class="global-search__controls"><input type="submit" title="Go" value="Go" class="js-global-search-go btn btn-secondary"><button type="button" class="close_mobile_search" aria-label="Close Search Input"><span class="im-icon icon-icon-close top-search-icon"></span></button></div> </form> </div> </div> </div> <div class="global-search-mobile__results" style="z-index: 90"> <div class="grid-construct"> <div class="global-search-mobile__results_content js-global-search-mobile-results"></div> </div> </div> </section> </div> </div> </div> </div> </header> </div></div> <div id="w1574100168934"><div class="breadcrumb-wrap clearfix" data-dcrs="templatedata/core/breadcrumb/data/en-us/default;"> <div class="breadcrumbs"> <div class="grid-construct"> <div class="breadcrumb-links" data-controller="hide-breadcrumb"> <ul itemscope="" itemtype="https://schema.org/BreadcrumbList"> <li itemprop="itemListElement" itemscope="" itemtype="https://schema.org/ListItem"><a itemprop="item" href="/"><span class="icon icon-home1"></span><span class="visuallyhidden" itemprop="name">Home</span></a><meta itemprop="position" content="1"> </li> <li itemprop="itemListElement" itemscope="" itemtype="https://schema.org/ListItem"><span itemprop="name">Privacy Request</span><meta itemprop="position" content="2"> </li> </ul> </div> </div> </div> </div><a id="maincontent"><span class="visuallyhidden"> Content </span></a></div> <div id="w1574100168936"></div> </div> <div class="ls-row cf" id="main"> <div id="content"> <div id="w1574100168938"><section data-dcrs=";" class="section header-section speditable copy-left teal-border"> <div class="grid-construct"> <div class="header-section-wrap"> <div class="header-section-yin"> <div class="header-section-copy"> <div class="header-section-copy__headlines"> <h1 class="header-section-title">Privacy Request Form</h1> </div> </div> </div> </div> </div> </section></div> <div id="w1574125711226"><section class="section section-split-cta" data-dcrs=""> <div class="grid-construct"> <div class="split-container bg-gray"> <div class="cta-split-image" style="background-image:url(https://www.sutterhealth.org/images/people/women/woman-using-computer-with-watch-944x466.jpg);"></div> <div class="cta-button-section"> <div class="cta-content"> <h2 class="header"><span class="header-text">Consumer Rights Request</span></h2> <div class="subhead rte"><p>Please use this form to submit your Consumer Rights Request to request that Sutter: provide access to your information; delete your information; not sell your information. You may fill out the form for yourself or someone else (e.g. a dependent or power of attorney).</p> <p> </p> <p>Your protected health information (PHI) isn’t included in this request. For questions regarding how Sutter Health protects your health information, <a title="Notice of Privacy Practices" href="/privacy/hipaa-privacy">please view our Notice of Privacy Practices</a>.</p></div> <div class="cta-button-container"></div> </div> </div> </div> </div> </section></div> <div id="w1574107642237"><style> #recaptcha>div {float: left;} label[aria-label="captcha"] {max-width: 220px;} </style><script> var onloadCallback = function() { grecaptcha.render('captcha', { 'sitekey' : '6LcqnUYUAAAAAG8xRKx9FXZh6c2Fbuf3bHsftfKE' }); }; </script><section class="find-form find-form--event privacy-request"> <div class="grid-construct"> <div class="section" data-controller="tooltip-v2"> <div class="form-wrapper" data-controller="dependent-privacy-request"> <form action="" method="post" class="js-form-disable" data-controller="form-validation" autocomplete="off"> <fieldset class="request-type__fieldset"> <legend class="visuallyhidden">Who are you requesting this data for?</legend> <ul class="form-list dashboard-register__form-list"> <li> <p class="label">Requester Information:</p> <div class="form-item-wrap js-required js-required--select" id="Requester Information"> <ul class="form-list pt-3"> <li><input id="yourself" type="radio" name="requester-info" value="yourself" class="js-required js-request-type"><label for="yourself" class="pl-5"> I am filling out this form for myself </label></li> <li><input id="someone-else" type="radio" name="requester-info" value="someone-else" class="js-required js-request-type" aria-controls="user-message"><label for="someone-else" class="pl-5"> I am filling out this form for someone else </label></li> </ul> </div> </li> <li class="user-message" id="user-message" aria-live="polite"></li> </ul> </fieldset> <fieldset class="privacy-request__fieldset"> <legend class="visuallyhidden">Requestee Information:</legend> <ul class="form-list dashboard-register__form-list"> <li class="dependent-form hide"></li> </ul> </fieldset> <fieldset class="privacy-request__fieldset"> <legend class="visuallyhidden">Your Information:</legend> <ul class="form-list dashboard-register__form-list"> <li> <h2 class="featured__headline mb-0">Your Information:</h2> <p class="pt-2 pb-2">All fields are required.</p> </li> <li><label for="first-name"><span class="visuallyhidden">Your Information:</span> First Name:</label><input id="first-name" type="text" class="js-required" name="first-name" placeholder="First Name" maxlength="60"></li> <li><label for="last-name"><span class="visuallyhidden">Your Information:</span> Last Name:</label><input id="last-name" type="text" class="js-required" name="last-name" placeholder="Last Name" maxlength="60"></li> <li id="primary-request-type"> <p class="label"><span class="visuallyhidden">Your Information:</span> Request Type:</p> <fieldset name="request-type"> <legend class="visuallyhidden">Request Type:</legend> <div class="form-item-wrap js-required js-required--select" id="Request Type"> <ul class="form-list pt-3"> <li><input id="access" type="checkbox" name="request-type" value="access" class="js-required js-request-type"><label for="access" class="pl-5"> Access My Info <span class="label__tooltip js-tooltip-label icon"> <div class="tooltip-redesign"><button type="button" aria-describedby="" class="tooltip-button">button: CONTENT NEEDED FROM PRIVACY TEAM</button><span class="tooltip__copy js-tooltip-copy" role="tooltip"><span class="tooltip__close js-tooltip-close"></span> CONTENT NEEDED FROM PRIVACY TEAM </span></div></span></label></li> <li><input id="amend-my-info" type="checkbox" name="request-type" value="amend-my-info" class="js-required js-request-type"><label for="amend-my-info" class="pl-5"> Amend <span class="label__tooltip js-tooltip-label icon"> <div class="tooltip-redesign"><button type="button" aria-describedby="" class="tooltip-button">More information</button><span class="tooltip__copy js-tooltip-copy" role="tooltip"><span class="tooltip__close js-tooltip-close"></span> ullamco laboris nisi ut aliquip ex ea commodo consequat </span></div></span></label><div id="additional-info"><label for="amend-info-textarea"><span class="sr-only visuallyhidden">What info would you like amend?</span></label><textarea placeholder="What info would you like amend?" style="margin-top: 16px" id="amend-info-textarea" name="amend-info-textarea" rows="4" cols="50">What info would you like to amend? </textarea></div> </li> <li><input id="deletion" type="checkbox" name="request-type" value="deletion" class="js-required js-request-type"><label for="deletion" class="pl-5"> Delete My Info <span class="label__tooltip js-tooltip-label icon"> <div class="tooltip-redesign"><button type="button" aria-describedby="" class="tooltip-button">button: CONTENT NEEDED FROM PRIVACY TEAM</button><span class="tooltip__copy js-tooltip-copy" role="tooltip"><span class="tooltip__close js-tooltip-close"></span> CONTENT NEEDED FROM PRIVACY TEAM </span></div></span></label></li> <li><input id="opt-out-sale" type="checkbox" name="request-type" value="opt-out-sale" class="js-required js-request-type"><label for="opt-out-sale" class="pl-5"> Withdraw Consent for Minors <span class="label__tooltip js-tooltip-label icon"> <div class="tooltip-redesign"><button type="button" aria-describedby="" class="tooltip-button">button: CONTENT NEEDED FROM PRIVACY TEAM</button><span class="tooltip__copy js-tooltip-copy" role="tooltip"><span class="tooltip__close js-tooltip-close"></span> CONTENT NEEDED FROM PRIVACY TEAM </span></div></span></label></li> <li><input id="restrict-info" type="checkbox" name="restrict-info" value="access" class="js-required js-request-type"><label for="restrict-info" class="pl-5"> Restrict <span class="label__tooltip js-tooltip-label icon"> <div class="tooltip-redesign"><button type="button" aria-describedby="" class="tooltip-button">More information</button><span class="tooltip__copy js-tooltip-copy" role="tooltip"><span class="tooltip__close js-tooltip-close"></span> ullamco laboris nisi ut aliquip ex ea commodo consequat </span></div></span></label></li> </ul> </div> </fieldset> </li> <li id="primary-dob"> <p for="dob" class="label dob-label"><span class="visuallyhidden">Your Information:</span> Date of Birth:</p> <div> <div class="form-date-dropdown-wrap month form-dropdown-wrap--grey js-required--date"><label class="visuallyhidden" for="month">Birth Month</label><select name="month" id="month" class="form-dropdown js-required js-required-valid-dob js-required--date-month"> <option value="">Month</option> <option value="01">January</option> <option value="02">February</option> <option value="03">March</option> <option value="04">April</option> <option value="05">May</option> <option value="06">June</option> <option value="07">July</option> <option value="08">August</option> <option value="09">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option></select></div> </div> <div> <div class="form-date-dropdown-wrap form-dropdown-wrap--grey js-required--date"><label class="visuallyhidden" for="day">Birth Day</label><select name="day" id="day" class="form-dropdown js-required js-required-valid-dob js-required--date-day"> <option value="">Day</option> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option></select></div> </div> <div class="form-dob__item"><label for="year" class="visuallyhidden">Birth Year</label><input id="year" type="number" name="year" maxlength="4" placeholder="yyyy" class="js-required js-required--date-year" min="1900"></div> </li> <li><label for="email"><span class="visuallyhidden">Your Information:</span> Email Address:</label><input id="email" type="email" class="js-required" name="email" placeholder="Email Address"></li> <li><label for="phone"><span class="visuallyhidden">Your Information:</span> Phone Number:</label><input id="phone" type="text" class="js-required js-required-phone" name="phone" placeholder="xxx-xxx-xxxx"></li> <li id="same-as-requester"> <fieldset name="same-as-request"> <legend class="visuallyhidden"><span class="visuallyhidden">Copy requestee address</span> Same as Requester:</legend> <div class="form-item-wrap"> <ul class="form-list pt-3"> <li><input id="same-address" type="checkbox" name="same-address"><label for="same-address" class="pl-5">Same as Requestee</label></li> </ul> </div> </fieldset> </li> <li class="primary-address"><label for="street-address1"><span class="visuallyhidden">Your Information:</span> Street Address<br><span class="form-text__sub">(Line 1)</span></label><input id="street-address1" class="js-required" type="text" name="street-address1" placeholder="Address Line 1"></li> <li class="primary-address"><label for="street-address2"><span class="visuallyhidden">Your Information:</span> Street Address<br><span class="form-text__sub">(Line 2):</span></label><input id="street-address2" type="text" name="street-address2" placeholder="Address Line 2"></li> <li class="primary-address"><label for="city"><span class="visuallyhidden">Your Information:</span> City:</label><input id="city" type="text" name="city" placeholder="City" class="js-required"></li> <li class="primary-address"><label for="state"><span class="visuallyhidden">Your Information:</span> State:</label><div class="form-dropdown-wrap form-dropdown-wrap--grey form-dropdown--state"><select id="state" name="state" class="form-dropdown js-required js-state"> <option value="CA">California</option> <option value="">-----</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option></select></div> </li> <li class="primary-address"><label for="zip-code"><span class="visuallyhidden">Your Information:</span> Zip/Postal Code:</label><div class="form-zip-wrap"><input id="zip-code" type="text" name="zip-code" placeholder="Zip/Postal Code" class="js-required js-required-zip-1"></div> </li> <li> <p class="label">Penalty of Perjury:</p> <fieldset name="tos-accept"> <legend class="visuallyhidden">Penalty of Perjury:</legend> <div class="form-item-wrap js-required js-required--select" id="Penalty of Perjury"> <ul class="form-list pt-3"> <li><input id="tos-accept" type="checkbox" name="tos-accept" class="js-required js-request-type"><label for="tos-accept" class="pl-5"> I declare under penalty of perjury under the laws of the State of California that the foregoing information is true and correct. </label></li> </ul> </div> </fieldset> </li> </ul> <fieldset class="send-message__fieldset"> <legend class="visuallyhidden">Captcha:</legend> <ul class="form-list form-list--mixed"> <li><label aria-label="captcha">Captcha:</label><div id="recaptcha" class="g-recaptcha" data-sitekey="6LcqnUYUAAAAAG8xRKx9FXZh6c2Fbuf3bHsftfKE"></div> </li> </ul> </fieldset> </fieldset><input id="cmd" name="cmd" type="hidden" value="PRIVACY_DATA_REQUEST"><button class="cta--form-submit" id="submit-privacy-request">Submit</button><script src="https://www.google.com/recaptcha/api.js"></script></form> </div> </div> </div> </section></div> <div id="w1574741440391"></div> <div id="w1578618880159"><div> <section class="section section-tiles bg-lt-blue" data-dcrs=""> <div class="grid-construct"> <div class="section-header-container"> <h2 class="section-title"></h2> <div class="section-subtitle rte"></div> </div> <div class="tiles "> <div class="tile-block "> <div class="tile-content"> <h3 class="tile-header tile-icon im-bf-icon icon-phone">Need Assistance?</h3> <div class="tile-text"><p>Call (855) 771-4220 to submit a consumer rights request.</p></div> <div class="card-footer p-0"><a class="btn btn-secondary btn-block" href="tel:+18557714220" title="">Call (855) 771-4220</a></div> </div> </div> <div class="tile-block "> <div class="tile-content"> <h3 class="tile-header tile-icon im-bf-icon icon-history">Cookie Preferences</h3> <div class="tile-text"><p>View and manage your cookie preferences.</p></div> <div class="card-footer p-0"><a class="btn btn-secondary btn-block" href="/privacy/cookie-preference" title="">Cookie Preferences</a></div> </div> </div> <div class="tile-block "> <div class="tile-content"> <h3 class="tile-header tile-icon im-bf-icon icon-lock">Our Privacy Policy</h3> <div class="tile-text"><p>Review our privacy policy to learn how we use and collect your information.</p></div> <div class="card-footer p-0"><a class="btn btn-secondary btn-block" href="/privacy/privacy-policy" title="">Privacy Policy</a></div> </div> </div> </div> </div> </section> </div></div> </div> </div> <div id="footer"> <div id="w1574100168933"><section class="section care-options-section" data-dcrs=""> <div class="grid-construct"> <div class="section__lead care-options__section-lead rte">The Sutter Health Network of Care</div> <div class="care-options__headline"> <div class="section__title care-options__headline_copy">Expertise to fit your needs</div> </div> <div class="section__content care-options__content"> <div class="care-options"> <div class="care-options__item"> <div class="care-options__title"><a href="/services/primary" title="Primary Care">Primary <span class="care-copy-wrap">Care</span></a></div> <div class="care-options__sub rte"><p>Check-ups, screenings and sick visits for adults and children.</p></div> </div> <div class="care-options__item"> <div class="care-options__title"><a href="/services" title="Specialty Care">Specialty <span class="care-copy-wrap">Care</span></a></div> <div class="care-options__sub rte"><p>Expertise and advanced technologies in all areas of medicine.</p></div> </div> <div class="care-options__item"> <div class="care-options__title"><a href="/services/emergency" title="Emergency Care">Emergency <span class="care-copy-wrap">Care</span></a></div> <div class="care-options__sub rte"><p>For serious accidents, injuries and conditions that require immediate medical care.</p></div> </div> <div class="care-options__item"> <div class="care-options__title"><a href="/services/urgent" title="Urgent Care">Urgent <span class="care-copy-wrap">Care</span></a></div> <div class="care-options__sub rte"><p>After-hours, weekend and holiday services.</p></div> </div> <div class="care-options__item"> <div class="care-options__title"><a href="/services/primary/walk-in" title="Walk-In Care">Walk-In <span class="care-copy-wrap">Care</span></a></div> <div class="care-options__sub rte"><p>Convenient walk-in care clinics for your non-urgent health needs.</p></div> </div> </div> </div> </div> </section></div> <div id="w1574100168935"><div id="js-alert-box-assertive" class="visuallyhidden" role="alert" aria-live="assertive" aria-atomic="true"><span id="js-alert-msg-assertive"></span></div><div id="js-alert-box-polite" class="visuallyhidden" role="alert" aria-live="polite" aria-atomic="true"><span id="js-alert-msg-polite"></span></div><footer role="contentinfo" class="footer-primary-v2" data-dcrs=""> <div data-controller="global-alert" data-url="/widgets/cms-alert?brand=&display=&location=" class="grid-construct"></div> <div class="grid-construct"> <div class="footer-logo"> <div class="footer-content"> <div class="footer__logo"><a href="/" class="footer-logo" title="Sutter Health logo"><span class="im-icon icon-SH_wht_rgb_new"></span></a></div> </div> </div> <div class="footer-linkgroup"> <div class="footer-link-list-icon"> <ul> <li><a href="/contact-us" title=""><span class="button-span"><i class="im-icon button-icon icon-chat"></i></span>Contact Us</a></li> <li><a href="/find-doctor" title=""><span class="button-span"><i class="im-icon button-icon icon-doctor"></i></span>Find Doctors</a></li> <li><a href="/find-location" title=""><span class="button-span"><i class="im-icon button-icon icon-map-pin1"></i></span>Find Locations</a></li> <li><a href="/appointments" title=""><span class="button-span"><i class="im-icon button-icon icon-add-to-calendar"></i></span>Book Appointment</a></li> <li><a href="/for-patients/request-medical-record" title=""><span class="button-span"><i class="im-icon button-icon icon-medical-file"></i></span>Request Medical Records</a></li> <li><a href="/giving" title=""><span class="button-span"><i class="im-icon button-icon icon-heart-hand"></i></span>Donate Now</a></li> </ul><a href="https://myhealthonline.sutterhealth.org/mho/Authentication/Login" title="" class="btn btn-primary"><span class="button-span"><i class="im-icon button-icon icon-profile1"></i></span>Sign in to My Health Online</a></div> <div class="footer-link-list"> <div class="link-block"> <h3 class="header">Billing and Insurance</h3> <ul> <li><a href="/for-patients/billing-insurance" title="">Pay a Bill</a></li> <li><a href="/health-plan" title="">Accepted Health Plans</a></li> <li><a href="/for-patients/health-care-costs-and-charges" title="">Estimate Costs</a></li> <li><a href="/for-patients/medicare" title="">Medicare Advantage</a></li> </ul> </div> <div class="link-block"> <h3 class="header">About Sutter</h3> <ul> <li><a href="/about" title="">About Our Network</a></li> <li><a href="/community-benefit" title="">Community Benefit</a></li> <li><a href="https://www.sutterhealth.org/annualreport" title="">Annual Report</a></li> <li><a href="https://vitals.sutterhealth.org/" title="">News and Media</a></li> </ul> </div> <div class="link-block"> <h3 class="header">Our Team</h3> <ul> <li><a href="/for-employees" title="">For Employees</a></li> <li><a href="/for-medical-professionals" title="">For Medical Professionals</a></li> <li><a href="/for-vendors" title="">For Vendors</a></li> <li><a href="/volunteering" title="">For Volunteers</a></li> </ul> </div> <div class="link-block"> <h3 class="header">Careers</h3> <ul> <li><a href="https://jobs.sutterhealth.org/" title="">Jobs at Sutter</a></li> <li><a href="/physician-opportunities" title="">Physician Jobs</a></li> <li><a href="https://www.suttermd.com/education" title="">Graduate Medical Education</a></li> </ul> </div> </div> </div> </div> <div class="footer-div"></div> <div class="grid-construct"> <div class="footer-bottom"> <div class="footer-copyright"> <p class="footer-copyright-copy">Copyright 漏 2024 Sutter Health. All rights reserved. Sutter Health is a registered trademark of Sutter Health 庐, Reg. U.S. Patent & Trademark office.</p> </div> <div class="footer-privacy"> <ul class="footer-links-privacy"> <li><a href="/accessibility" title="">ADA Accessibility</a></li> <li><a href="/for-patients/healthcare-cost-transparency" title="">Price Transparency</a></li> <li><a href="/privacy" title="">Privacy</a></li> <li><a href="/privacy/privacy-request" title="">Do Not Sell My Personal Information</a></li> <li><a href="/privacy/cookie-preference" title="">Cookie Preferences</a></li> </ul> </div> <div class="footer-social"> <ul class="footer-links-social"> <li><a class="im-icon icon-linkedin2" href="https://www.linkedin.com/company/sutter-health/" title="LinkedIn " rel="external"><span class="sr-only">LinkedIn </span><span class="visuallyhidden">Opens new window</span></a></li> <li><a class="im-icon icon-youtube" href="https://www.youtube.com/sutterhealth" title="YouTube " rel="external"><span class="sr-only">YouTube </span><span class="visuallyhidden">Opens new window</span></a></li> <li><a class="im-icon icon-facebook-circle" href="https://www.facebook.com/SutterHealth" title="Facebook " rel="external"><span class="sr-only">Facebook </span><span class="visuallyhidden">Opens new window</span></a></li> <li><a class="im-icon icon-x" href="https://twitter.com/SutterHealth" title="X" rel="external"><span class="sr-only">X</span><span class="visuallyhidden">Opens new window</span></a></li> <li><a class="im-icon icon-instagram" href="https://www.instagram.com/sutterhealth/" title="Instagram " rel="external"><span class="sr-only">Instagram </span><span class="visuallyhidden">Opens new window</span></a></li> <li><a class="im-icon icon-glassdoor1" href="https://www.glassdoor.com/Overview/Working-at-Sutter-Health-EI_IE4654.11,24.htm" title="Glassdoor " rel="external"><span class="sr-only">Glassdoor </span><span class="visuallyhidden">Opens new window</span></a></li> </ul> </div> </div> </div><span class="js-bp-detect"></span></footer></div> </div> </div> </div> <script type="text/javascript">//<![CDATA[ if (allowCookies === "true" ) {  var _tag=new WebTrends(); _tag.dcsGetId(); _tag.dcsCustom=function(){ // Add custom parameters here. //_tag.DCSext.param_name=param_value; } _tag.dcsCollect();   (function(d){var s = d.createElement("script");s.setAttribute("data-account", "EedbTVNPwf");s.setAttribute("src", "https://cdn.userway.org/widget.js");(d.body || d.head).appendChild(s);})(document)  if (allowChat === "true") {  var orbita = document.createElement('script'); orbita.setAttribute('src', 'https://sutterhealth.orbita.cloud:8443/chatbot/v3/chat.js'); document.body.appendChild(orbita); async function loadBotEvents() { await OrbitaChatBotV3.init({ projectId: '65c450976ee253007974f1b0', serverUrl: 'https://sutterhealth.orbita.cloud:8443', customData: { }, botSettings: { elementId: 'chatbot-wrapper', template: 'sutterbranded' } }); } orbita.addEventListener("load", () => { loadBotEvents(); });  } } if (allowChat === "true" && allowCookies === "false") {  var orbita = document.createElement('script'); orbita.setAttribute('src', 'https://sutterhealth.orbita.cloud:8443/chatbot/v3/chat.js'); document.body.appendChild(orbita); async function loadBotEvents() { await OrbitaChatBotV3.init({ projectId: '65c450976ee253007974f1b0', serverUrl: 'https://sutterhealth.orbita.cloud:8443', customData: { }, botSettings: { elementId: 'chatbot-wrapper', template: 'sutterbranded' } }); } orbita.addEventListener("load", () => { loadBotEvents(); });  } //]]></script> <script type="text/javascript" src="/assets/vendor/requirejs/require.js"></script>  <script type="text/javascript" src="/assets/js/main.min-v5.js"></script>  </body> </html>

CINXE.COM

Privacy Request