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.

Download Sharp Health Plan’s authorization form as a PDF, fill it out and print it. Then mail or fax your completed form to us.

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
  • Medical — e.g., diagnoses, doctors, treatments
  • Financial — e.g., medical claims, bills, copayments
• Option 2: Only limited information that you specify

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 doctor's or hospital's authorization form?

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.

How do I give a family member access to my medical records?

Sharp 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 use a Sharp account, please contact their office for assistance with sharing access to your medical records.

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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