UCPA Opt-Out Form

Name(Required)
Address(Required)
If you choose to proceed without providing an email address, we may have difficulty processing your request and we will have to communicate with you about your request via postal mail. This may cause significant delays in processing your request.
You can choose whether your information is shared with third parties (including sharing that is considered a sale under state law) or used for targeted advertising. Please note that your request will apply to future sharing and use of your personal information and will not impact any sharing or use prior to your request.
You can choose whether your information is shared with third parties (including sharing that is considered a sale under state law) or used for targeted advertising. Please note that your request will apply to future sharing and use of your personal information and will not impact any sharing or use prior to your request.

Thank you for visiting Claimant Medical Data Solutions LLC.

Users with disabilities (and any other users) who wish to opt-out of the sale of their personal information can also contact us by calling us at: (888) 435-3833; or (781) 208-3326; emailing us at: privacy@cmdatasolutions.com; or sending us mail to: Claimant Medical Data Solutions LLC, 890 Winter Street, Suite 230, Waltham, MA 02451.

We respect the privacy of your personal information. The information you provide here will only be used to process your opt out of sale request. To assure the implementation of your request across all devices associated with your account, you should login to your account with each of your devices. If you are not logged in or do not provide accurate account details, you should complete an opt out of sale request on each browser or device that you use to access our websites and mobile services. In addition, if you are not logged into your account while making your request, and you later clear your cookies, your opt out of sale request will need to be resubmitted. Please note that your request will apply to future sales of your personal information and will not impact sales made prior to your request.

If we have a good-faith, reasonable and documented belief that a request to opt-out is fraudulent, we may deny the request.

Where you make a request to opt-out of the sale of your personal information through an authorized agent, we will require that you or the authorized agent provide us with a valid written authorization executed by both parties, with the validity of such document determined by us in our reasonable, good faith discretion. Please submit such documentation to us at: privacy@cmdatasolutions.com; or: Claimant Medical Data Solutions LLC, 890 Winter Street, Suite 230, Waltham, MA 02451.

For additional discussion of your privacy rights, please visit our Privacy Policy by Clicking Here.