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Privacy Complaint Form Section I: The Ohio State University Health Plan Inc. values the privacy of your personal health information. If you believe that anyone involved with OSU Health Plan has inappropriately

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How to fill out privacy complaint form

01

To fill out a privacy complaint form, follow these steps:

02

Start by accessing the privacy complaint form online.

03

Fill in your personal information, including your name, contact details, and any relevant identification numbers.

04

Provide a detailed description of the privacy violation or incident you are reporting.

05

Attach any supporting documentation or evidence that can strengthen your complaint.

06

Review the filled form for accuracy and completeness before submitting it.

07

Submit the form either online or by following the specified submission instructions.

08

Await further communication or updates regarding your privacy complaint from the relevant authorities or organization.

Who needs privacy complaint form?

01

The privacy complaint form is suitable for individuals who believe their privacy has been violated or compromised. This can include, but is not limited to, individuals who have experienced unauthorized access to personal information, data breaches, unsolicited marketing communications, or any other privacy-related concerns. Anyone who wishes to formally report such incidents can use the privacy complaint form.

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