You can make a privacy request if you want to get a copy of your health information or limit how your information is shared with other organizations.
- To request that the Alliance does not electronically share your health information with other organizations, fill out the Health Information Exchange (HIE) Opt-Out Form.
- To get a copy of your protected health information from the Alliance, fill out the Record Access Request Form.
Read the instructions on how to download and fill out a form.
Open Health Information Exchange (HIE) Opt-Out Form
Open Records Access Request Form
Contact Member Services
- Monday through Friday, from 8 a.m. to 5:30 p.m.
- Phone: 800-700-3874
- Deaf and Hard of Hearing Assistance
TTY: 800-735-2929 (Dial 711)
- Nurse Advice Line