HealthPartners.com

Opt Out

Opt-Out Form for Marketing and Health Research with Nonaffiliated Third Parties

If you do not wish to be contacted when we conduct marketing or health research with nonaffiliated third parties, let us know. Submit a separate form for yourself and each person covered under your contract.

What's covered by these opt-outs? View Section 2 of our Privacy Notice.

* = required information

Please enter:

Opt-out
First Name
Last Name
Member Number
Daytime Telephone Number

You must select what type of disclosure(s) of which to opt-out
*I Want to Opt-Out of Disclosures for Marketing Research with nonaffiliated third parties (only) Health Research with nonaffiliated third parties (only) Both Marketing and Health Research with nonaffiliated third parties
You must supply your first name
*First Name
You must supply your last name
*Last Name
You must supply your correct member number
*8-Digit Member ID Number
You must supply your telephone number so you may be contacted if there are any problems with your request
*Daytime Phone	- -
(in case we have questions about your request)