Patient Rights
Under HIPAA's Privacy Rule, plan members can exercise their right to privacy. They can access these rights by utilizing the following forms:
Authorization for Release of Protected Health Information
Request for Amendment of Protected Health Information
Request for an Accounting of Disclosures of Protected Health Information
Request for Confidential Communications of Protected Health Information
Revocation of Request for Confidential Communications of Protected Health Information
Please note: All forms must be completed by plan members in writing.