Resources for Privacy Practices
We believe that privacy is part of Walgreens commitment to you. If you have a complaint about our privacy practices or would like to request information about how your personal information has been used, please contact us at one of the links below. Or, contact us at customerservice@mail2.walgreens.com.
Online or PDF Complaint Form
If you have a complaint about our Privacy Practices, please use the online complaint form or print out a complaint formopens in a new window (PDF) to mail to us, or contact the Privacy Office directly using the information below:
- 108 Wilmot Road, Mail Stop 3213
- Deerfield, Illinois 60015
- (847)236-6518
PDF Request Forms
Request for Accounting of DisclosuresYou have the right to know how your information has been used.
Print out a Request for Accounting of Disclosures form to mail to us.opens in a new window
Request to Access FormYou may request to review the personal health information held about you in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Print out a Request to Access Form.opens in a new window
Request for Alternate Means of Communication FormYou may request that your protected health information be sent to you via alternative means or to an alternative location.
Print out a Request for Alternate Means of Communication Form to mail to us.opens in a new window
Request to Amend/Correct Protected Health InformationIf the health information held about you is incomplete or incorrect, you may request to amend/correct it here.
Print out a Request to Amend/Correct Protected Health Information.opens in a new window
Request Restrictions on Personal Health Information Use and DisclosureYou may request to restrict the use and disclosure of your protected health information.
Print out Restrictions on Personal Health Information Use and Disclosure.opens in a new window
PHI Release Authorization (Personal Representative)You may wish to have a spouse, parent, adult child, or caregiver have access to your medical and health information on an on-going basis to assist with your care and maintaining your information.
PHI Release Authorization (Friends and Family Designation)You may designate a family member, relative, or friend to have access to your medical and health information on an on-going basis to assist with your care and maintaining your information.
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