Data Subject Rights Request
Data Subject Rights Request Form

Chanelle Pharma values your privacy. If you are a resident of the European Economic Area and you wish to exercise your rights under the General Data Protection Regulation (the "GDPR"), please complete this form to submit a request.

Requests are subject to verification and we will respond in accordance with applicable law and our Privacy Notice.

Note: Please use the email address associated with your activity with Chanelle Pharma (for example, the email you used to receive marketing emails or order confirmations). This will help us locate your records.

  • I am making this request on behalf of *
  • Requester Name *
  • Requester Email *
  • Requester Phone *
  • Data Subject Name *
  • Data Subject Email *
  • Data Subject Phone *
  • Request Type *
  • Category of Data Subject *
  • Request Details *
  • Requester Type *