What is a Voluntary Self-Exclusion Form?

‍A voluntary self-exclusion form allows patients to remove themselves from certain medical programs, research studies, or marketing communications. This document formally records a patient's choice to opt out of specific healthcare activities or information sharing.

Why is self-exclusion important?

• Personal choice: Controls participation in programs.
• Privacy protection: Limits unwanted communications.
• Research ethics: Respects right to withdraw from studies.

Common self-exclusion situations

• Clinical research participation.
• Marketing communications.
• Data sharing programs.

How Solace can help

‍A Solace advocate can help you understand self-exclusion options, complete necessary forms, and ensure your opt-out preferences are honored. They can also help manage the process of withdrawing from research studies or programs while protecting your ongoing care needs.