Consumer Request Form

BrightStar Care (the “Company”) attaches great importance to the protection of your Personal Information.  If you are a client who resides in the State of California and whose Personal Information is collected by the Company, please use this form to request access to or deletion of your Personal Information.  Upon proper verification of your identity, the Company will respond to and honor your request as legally required.

“Personal Information” means information that identifies, relates to, describes, is capable of being associated with, or could reasonably be linked, directly or indirectly, with an individual that resides in California but does not include publicly available information that is lawfully made available to the general public from federal, state, or local government records. 
 

All fields are required unless noted

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Please enter a First Name.
Please enter a Last Name.
Please enter an Email Address.
Please enter a Phone Number.
Please enter a Zip Code.
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