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We are committed to protecting your health information. At some point during your care, you may need to share your health information with someone
else — or, access a family member’s information.
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 Sharp Medicare Advantage member, you will need to submit this form in order to access their health information.
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.
You can find your medical group on your member ID card.
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.
We provide you with free interpreter and translation services to help make it easier for you to understand your health care plan and medical information.
Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.