Hi JL Team,

I’d like to request the deletion of my personal data from your records. I’ll provide the required details in the form below:

Personal Data Deletion Request
  • The reason I am requesting deletion of my personal data is as follows:
    • Consent is being revoked for personal data processing
  • The information that I am specifically aware of, that you process or retain, is as follows:
    • Full Name
    • Address
    • Phone Number
    • Email Address
    • Treatment History
    • Before & After Photos of Patients (if applicable)

Please respond via email to confirm that my request has been honored.

Sincerely,

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