Opt Out from Virginia Mason Mailings

If you would like to be removed from a mailing list for newsletters, donation requests or promotional mailings from Virginia Mason, please provide as much of the information below as possible. Items that patients are unable to opt out of include patient statements, screening notifications and letters regarding changes in your care team.

* Indicates required information
Information of person to remove from mailing list. 
First Name: * 
Last Name: * 
Mailing Address: * 
City * 
State * 
Zip * 
Date of Birth: (if a patient) 
Person is Deceased: 
Information of person making this request. (If different from name above)  
First Name: 
Last Name: 
Authentication * 

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