Community Health Development, Inc.
Sharing Your Health Information
There is a federal law, called the Health Insurance Portability and Accountability Act of 1996 (HIPAA), that sets rules for healthcare providers and health plans about who can see and have your protected health information (PHI). The law says we can’t give anyone other than your doctors at Our Health (Community Health Development, Inc.) information about your health without your OK.
Sharing information about your health with all your healthcare providers helps them:
- Keep you safe.
- Make better choices about your overall health.
- Give you the best possible treatment.
Sharing your health information with your family or close friends helps them know how they can best help you.
How do I give Magellan Healthcare my OK to share my PHI?
There are two easy ways to give us your OK to share your PHI using the instructions and forms below.
- Submit forms online: Fill out the Consent to Release Protected Health Information (PHI) form electronically using the link in the “Online Submission” accordion below.
- Mail or fax the forms in the English and Spanish accordions:
a. Download and read the Instructions for Consent to Release Protected Health Information (PHI) Form.
b. Download and fill out the Consent to Release Protected Health Information (PHI) form.
c. Mail your completed form to:
Magellan Healthcare, Inc.
Attention Privacy Officer, Collaborative Care
14100 Magellan Plaza,
Mail Stop MO41
Maryland Heights, MO 63043
Consent to Release Protected Health Information (PHI) – (Online Submission)
Important: If you need a record of your responses on the Consent to Release Protected Health Information (PHI) form, please remember to print a copy before you submit the form electronically. Once you hit the submit button, you will not be able to go back and print it.