Adnexi - Professional Information Request

As detailed in the letter you received, your name, specialty, and affiliation were provided to our client, the pharmaceutical sponsor, to help them understand professional networks and identify experts in your therapeutic area. Please use this form to exercise your data privacy rights regarding this information. To process your request accurately, please provide the details below. All fields marked with an asterisk (*) are required.

Thank you for submitting your privacy request. We will review your request and respond within 30 days. You will receive a confirmation at the email address you provided.

Something went wrong. Please try again or email us directly at [email protected].

Verify Your Identity

Full Name *

Email Address *

We will use this to communicate with you about your request.

Professional Specialty

e.g., Cardiology, Oncology

Primary Professional Affiliation

e.g., Name of Hospital, University, or Clinic

Name of Pharmaceutical Sponsor *

The letter you received mentions the sponsor's name. Providing it helps us expedite your request.

Select Your Privacy Request(s)

Please choose one or more rights you wish to exercise.

Right to Know / Access — I want to know what personal information you hold about me and receive a copy. Right to Delete — I want you to delete the personal information you hold about me. Right to Correct — Some of my information is inaccurate and I would like it corrected. Right to Opt-Out of Sale / Sharing — I want to opt out of the sale or sharing of my personal information with third parties. Right to Restrict Processing — I want to restrict how my personal information is processed. Right to Data Portability — I want to receive my personal data in a structured, machine-readable format.

Provide Corrections (If Applicable)

Describe corrections

If you selected "Right to Correct" above, please specify the information that is incorrect and provide the accurate details below.

Manage Your Personal Information