CCPA Data Request

Pursuant to the California Consumer Privacy Act (CCPA), residents of California may have the right to request deletion of their information in our records, or request to know the categories or (in certain cases) specific pieces of information that Covenant Physician Partners has collected about them. For more information about these rights and how we handle these requests, please see our Privacy Notice for California Residents.


In order to submit a data request, please complete the following form.

Confirm Your Identity

Please enter two (2) of the three (3) following identifiers to help us confirm your identity:

Data Request

Please provide us with details about your request, such as the type of request (data deletion/data request), your preferred fulfillment method (if data request), and where the request should be delivered.

What type of request are you submitting?
How would you like to receive your data request?

Consent

By submitting this form, you consent to our receipt and use of the information you provide to verify and respond to your request.