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Child Personal Data Removal Request

Form to request removal of personal data for children under 13

Important Information

Beyond Podiatry does not intend to collect Personal Data from children under age 13 without consent from the child's parent or legal guardian, pursuant to applicable law. If you believe that your child has submitted Personal Data, please use this form to request its removal from our systems.

Requestor Information (Parent/Guardian)

  • Full Name

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  • Relationship to Child

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  • Email Address

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  • Phone Number

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Child Information

  • Child's Full Name

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  • Child's Age

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  • Estimated Date When Data Was Submitted

Removal Request Details

  • Details of Personal Data Submitted (if known)

  • Additional Comments

Confirmation