Request my personal data

To make a subject access request regarding your personal data held by the company, please complete the following form.

Libertatem Healthcare Subject Access Request

Your details
Firstly we need to be sure that you are requesting access to information pertaining only to your own personal data held by the company. So please provide the requested information in the boxes below.
YOUR NAME*
Your Contact Telephone Number*
YOUR EMAIL*
National Insurance Number*
Your date of Birth*