Data Subject Request Form

You may use this Data Subject Request Form to submit a request regarding your personal information that is processed by Galderma SA and its affiliates. Please complete this form and click the “submit” button below. Information provided by you will be used to handle your request and for compliance and auditing purposes.

Please note that we and certain other companies place tracking technologies like cookies on our websites, which allow us and those companies to receive information about your activity on our websites that is associated with your browser or device. Galderma and these companies may use that data to customize content for you and to serve you more relevant ads on our websites or others.

If you make a “Do Not Sell or Share My Personal Information” request or request to opt-out of “targeted advertising” or "sales" (as defined in applicable laws) using this form, note that if you would like to opt-out of "sales" or targeted or behavioral advertising through certain cookie-based tracking, you will need to separately click the Cookie Settings icon in the bottom left corner of the website you visit to set your cookies preferences.

You can also visit www.aboutads.info/choices and https://optout.privacyrights.info to opt-out of certain uses of cookies for advertising purposes. Keep in mind that your selections are specific to the device, website and browser you are using. Your selections are also deleted whenever you clear your browser’s cookies.

US residents: Consistent with the requirements of applicable law, at this time we are only responding to U.S. requests from residents of the following States: California, Colorado, Connecticut, Delaware, Iowa, Montana, Nebraska, Nevada, New Hampshire, New Jersey,  Oregon, Texas, Utah, Virginia and Washington. 

Thank you! 

Please complete the form below once for each request.

You may hover over the form field to receive additional information.

Note: Fields marked with an asterisk (*) are mandatory