Privacy Complaint Form

Baxter is committed to ensuring that complaints and disputes concerning Baxter's privacy practices are investigated and resolved. For this reason, we have developed a privacy complaint handling procedure. It is our intention to resolve all complaints through this procedure. We recognize, however, that there may be instances where resolution through our internal procedures is not achievable, or where complainants may wish to avail themselves of alternative dispute resolution mechanisms. Baxter has agreed to participate in the privacy dispute resolution procedure administered by the CPR Institute for Dispute Resolution.

Fields marked with an asterisk are required. Providing your name and accurate contact information is not required, but will ensure Baxter can respond to your feedback

Name:
Address:
ZIP Code:
Country:
Phone Number :
Fax:
E-mail address:
Describe privacy complaint:*
Type of information involved:*
Additional Details :*
Date(s) of occurrence:*
Names of those involved:
Desired resolution:*

The information submitted by you will only be used to investigate and respond to your privacy inquiry.