Your right to be forgotten

To have all of your personal data removed from our systems and those of our partner companies, please fill out the quick form below:

Name
First Last
National Insurance Number*
I no longer work for the Libertatem Healthcare Group:*
- And am requesting all my personal data be removed from the system
I confirm that I have requested my P45*
- I confirm
If you have not requested your P45, please do so before submitting this form
Signature