|Authorization to Disclose Protected Health Information
(PDF) describes other exceptions that may apply.
Releasing Your Information to Others
If you or a family member (age 18 or older) wish to designate another individual to receive information related to your health insurance and protected health information, you can complete the authorization online or by mail:
Or use these forms to Submit Authorizations by Mail:
Accessing Your Protected Health Information
Request a copy of your PHI to view or to request a change.
Request a list of instances your PHI was disclosed (with some exceptions).
Request that we communicate with you at an alternate address (if you are endangered).