Simply Wells Health Services

SimplyWell Health Services Privacy Policy Effective Date July 2000 (last updated January 2025)

If you have interacted with SimplyWell and are a resident of a State that grants certain individuals and business contacts rights to access or delete personal information SimplyWell collects about you, you may submit the form below to exercise these rights. If sufficient information is not provided, SimplyWell may not be able to fulfill requests. Depending on the request, we may ask you to provide additional information to verify your identity. Please note that your request may be refused in accordance with applicable privacy legislation. If you have questions about this form, please refer to the SimplyWell Privacy Policy. If you are attempting to request copies of your credentialing or personnel records (i.e. titers, physicals, etc.) and are affiliated with the following: Travel Nurse, Allied, Advanced School Staffing or Therapy, or NurseChoice; you can submit a request via SimplyWell Passport. If you are a not affiliated with a brand listed above, or you are requesting a Drug Screen or I-9, please submit your request to Subpoenas@SimplyWellhs.com. Please DO NOT list sensitive personal information in the space available. SimplyWell reserves the right to retain basic information about requests and how they were fulfilled. If you wish to unsubscribe click here. If you are vendor or an agent submitting a request on behalf of an individual, please email SimplyWell Privacy at Privacy@SimplyWellhs.com.

Please enable JavaScript in your browser to complete this form.
I am a:
Address