Claim Form Login

If you are or were a patient of Goshen residing in the United States and had a patient portal account with Goshen and logged in between January 1, 2020, and December 31, 2023, then you may be entitled to Settlement Benefits.

If you are a Settlement Class Member and wish to receive a payment, your completed Claim Form must be postmarked on or before November 29, 2025 or submitted online on or before 11:59 p.m. EST on November 18, 2025.

Privacy Shield Pro Product: Each Settlement Class Member will automatically receive a code to enroll in the Privacy Shield Pro product. The code is listed at the top of the Notice you may have received.

Cash Payment: Each Settlement Class Member who files a timely, valid claim will also have the option to select a cash payment of $25.00.

For more details regarding the settlement benefits, please review the Notice, or visit the FAQs page.

To start your online claim, you must login with your Notice ID and PIN. You can find your Notice ID and PIN on the Notice that was sent to you. If you are unable to locate your ID & PIN, please contact the Settlement Administrator by emailing info@GoshenHealthPrivacySettlement.com or calling (833) 417-4915. Please request your Notice ID & PIN by providing your full name and mailing address.

You may also download a Claim Form here and submit it by U.S. mail to:

Goshen Settlement
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799

Claims forms must be submitted online or postmarked by November 29, 2025.