CCPA Request Form

The California Consumer Privacy Act (CCPA) provides consumers (California residents) with specific and unique rights to their personal information. To exercise those rights, you may use this webform below to submit your requests as permitted by CCPA. Please note that we will be required to verify your identity in order to fulfill some requests.

Request

Please select your type of request

Right to know: please tell me what personal data you hold about me.

Right to know – categories: please tell me the categories of service providers or third parties to whom my personal data was disclosed. (icu medical does not sell personal data.)

Right to request: please provide me with copies of the personal data you hold about me.

Right to delete: please delete my personal data. (in some instances california does not require that such requests be honored. In such cases, you will be informed of the reason that data cannot be deleted.)

Right to opt-out: I have previously given consent to collect my personal data, and I wish to withdraw that consent. (please note that this will not affect the lawfulness of processing that occurred before you withdrew consent.)

Request Additional Information

Consumer Information

First Name *

Last Name *

Email Address *

Phone Number

By providing your information, you choose to receive communications from ICU Medical as indicated herein, and we may send you marketing communications, including information about our products and services, and other events that may be of your interest, among other communications. In case you do not want us to keep your information, please let us know. For more information about the use of your personal data, please check our privacy notice at www.icumed.com/privacy-policy.