Important Notice: As of September 3rd, this form will no longer accept submissions for access to Health Connect. In order to ensure that your submission does not get lost in the move to Play Console, please hold off on submitting any requests through this form and submit through Play Console starting September 3rd.

Please navigate to the Play Console for all future app submissions. If you have any questions regarding how to get started with Play Console, refer to https://play.google.com/console/.