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This claim form should be filled out online or submitted by mail if you received a notification from Gastroenterology Consultants, P.A. ("GCPA") relating to a cyberattack against GCPA's computer systems that occurred on or about January 10, 2021 (the "Data Incident"), and you had documented out-of-pocket expenses, lost time spent dealing with the Data Incident, or you wish to claim credit monitoring and identity protection services to be paid for by GCPA. You may get a check if you fill out this claim form, if the settlement is approved, and if you are found to be eligible for a payment.

This Claim Form must be submitted by October 03, 2022. The Settlement Notice describes your legal rights and options. Please review the Settlement Agreement or call (844) 950-2288 for more information.

Enter your Settlement Claim ID to submit a claim.
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