Arcutis Biotherapeutics

Privacy Request Form

Please select and enter the appropriate fields on this form. Arcutis will take steps required to verify your identity and affiliation with us and may request additional information from you to verify your identity.

Arcutis will use reasonable efforts to provide you with appropriate information related to your request. If we are unable to honor your request within 45-days, we will inform you and update you on the progress. In the event we cannot honor your request, we will explain why we cannot do so.

If you are a clinical trial subject, please contact the Principal Investigator on the relevant study.

We will contact you if we need any additional information.

Select Request Type(Required)

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Name(Required)

Email(Required)

(Please use the email address you have previously provided to Arcutis)

Address(Required)

Consent(Required)

I acknowledge that Arcutis will collect, use, and disclose my personal information in accordance with the Arcutis Privacy Notice.(Required)

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For further information please contact Arcutis Privacy at privacy@arcutis.com

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