DO NOT SELL OR SHARE MY PERSONAL INFORMATION
Last Updated: 18th May 2026
ClarityMD (“we,” “our,” or “us”) generally does not sell personal information, as the term “sell” is traditionally understood. However, to the extent “sale” is interpreted to include advertising technology activities, we may “sell” or “share” your personal information as described in our Privacy Policy.
Please use this form to submit a request to opt-out from us “selling” or “sharing” your personal information. The information you provide in this form will only be used for the purpose of verifying and processing your request.
I am a: [Consumer] or [Consumer’s Authorized Agent]
Consumer’s first name:
Consumer’s last name:
Consumer’s email address:
Consumer’s phone number:
Consumer’s address:
Consumer’s city:
Consumer’s state:
Consumer’s country:
Any other request details:
Acknowledgement
By submitting this form, you acknowledge that the information you provided is true and accurate.
To submit your opt-out request, please copy and complete the form below and email it to:
Please use the subject line:
Do Not Sell or Share My Personal Information Request
Once received, we will use the information provided only to verify and process your request.
