We are committed to protecting your health information, also known as PHI. At some point during your care, you may need to share your health
information with someone else — or, access a family member’s information.
DOWNLOAD PHI FORM
Completing our authorization form gives Sharp Health Plan permission to share your personal health information. You control who you want to share
that information with, and the level of information that you what to share with them. There are two options for you to choose from on the form:
If you are legally responsible for making medical decisions for a parent or adult dependent, you will need to submit this form in order to access their health information.
Note: This authorization form is for Sharp Health Plan only. You will need to fill out additional authorization forms and submit them to your medical group, doctor’s office or locations where you receive care. We encourage
you to contact your doctor’s office for more information.
We encourage you to contact your doctor's office or your hospital to ask for the correct authorization form. You may also refer to the list below for guidance. Your doctor's plan medical group is listed on your member ID card.
Some FollowMyHealth® users may grant proxy access in their portal account. The other option is to fill out a medical record request form. Please specify that you would like the records sent to your family member.
If your doctor does not participate in FollowMyHealth, please contact their office for assistance with sharing access to your medical records.
We partner with plan medical groups and doctors who help make it easy for you to access and manage your health care online using our online patient portals.
Learn more about what care options are available for your child when they're away at school or traveling such as prescription refills and emergency services.
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