My Health, My Data Act ("MHMDA") Submission Form
Thank you for submitting your Washington My Health, My Data Act (MHMDA) request.
Your request has been received by our Privacy Office for handling.
For requests to delete:
We will use the information you provided to authenticate that you (or the person you are requesting for) (collectively “you”) are the same person about whom we have collected information. If the information you provided us does not match our records, in certain circumstances we may request additional information from you.
If the information you provided us does match our records, your request is authenticated. We will respond to all authenticated requests within 45 days. If we require more time, up to 45 additional days, we will inform you of the reason and extension period in writing. The response we provide will also explain the reasons we cannot comply with a request, if applicable.
We will use information you provide us only for security or fraud-prevention purposes and, for requests to delete, to authenticate your identity.
If you have any questions about the status of your request, please contact: firstname.lastname@example.org