- Authorizations to Use or Disclose Protected Health Information
For routine release of health information
- Authorizations for Electronic Communication
For Release of Identifiable Information by Video/Tele-Conference or Audio-Conference – do not use for E-mail correspondence – see below.
- Online form for Email and Other Media
Use only this form to authorize Email correspondence. It can also be used for video- and audio-conferencing. You will be redirected to an outside website. Click here.
- Authorization for the Use of De-Identified Health Information for Publication and Educational Purposes