Service provider 5 Minute Mental Health / suncrestcounseling.com What is your full name? What is your last name? What is the email address you use to access the above app and website? I am submitting this information on behalf of: Myself Someone else What is the reason of your request? Get a copy of my personal information Edit or correct my personal information Restrict the processing of my personal information Delete all my personal information Allow the use of my personal information for marketing or profiling Deny the right to use my personal information for marketing or profiling Allow the disclosure and sale of my personal information to third parties Deny the right to have my personal information disclosed or sold to third parties I confirm the following: Under penalty of perjury, I declare all the above information to be true and accurate. I am the consumer of the above app and website or the agent authorized by the consumer to make this request on their behalf. I understand that the deletion or restriction of my personal information is irreversible and may result in the termination of services with the above app and website. I understand that I will be required to validate my request by email and I may be contacted in order to complete the request. You’re not a bot, are you?