Access or Remove Personal Information

If you are a California consumer, you may have the right to request that we delete certain personal information.

Please complete this form to submit a request for your information be removed. The personal information submitted in connection with this request will be used to identify you and process your request.

Requests are subject to identity verification.

For more details on how we collect and use personal information, please visit our Privacy Policy page at https://www.dhccare.com/privacy-policy

Request Type

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP Code

Phone

Customer Number (if known)

Shown in the left corner in a blue shaded box on the back of your catalog or on the packing slip.

User Type

I consent to the access or removal of my personal information.