Data Deletion Request Form

Name

First NameLast Name

Email Address associated with the account: *

example@example.com

Reason for Account Deletion: *

Please briefly explain why you are requesting account deletion.

I understand that submitting this form will permanently delete my account and associated data, and I will no longer have access to any information or features within the MyGut platform, including the transfer of information from one provider to another. Please note that all information related to the monitoring/triaging and actions conducted by the virtual nurse or other health professionals will not be deleted *

I confirm that I want to proceed with the account deletion process.

Please note that submitting this form will initiate the account deletion process once we have authenticated your account. Once your request is received and verified, your account and associated data will be permanently deleted from our system. We appreciate your understanding and feedback. If you have any questions or need further assistance, please contact our support team at mygut@crohnsandcolitis.ca.