Share your health information with loved ones

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 — for example, if you are legally responsible for making medical decisions for a parent or adult dependent who is enrolled with Sharp Health Plan. In these cases, you’ll need to complete authorization forms with both Sharp Health Plan and your plan medical group.

2 ways to complete Sharp Health Plan’s authorization form

Choose the health information you want to share

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. Our authorization form provides two sharing options:

• Option 1: All health information (includes medical and financial information)
  • Medical — e.g., diagnoses, doctors, treatments
  • Financial — e.g., medical claims, bills, copayments
• Option 2: Only limited information that you specify

Important 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.

How do I get my medical group’s authorization form?

You can find your medical group on your member ID card.

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.

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