TotalCare Confidential Communications Request Form

Use this form to ask TotalCare to send your confidential or sensitive health information to a different address, phone number, or email. This includes things like notices about medical services or other communications that include private health details. If approved, this request will only apply to TotalCare communications with confidential information.

Huwag gamitin ang form na ito upang:

• Gumawa ng isang beses na kahilingan
• Baguhin ang iyong pangunahing impormasyon sa pakikipag-ugnayan
• Ask for all messages from TotalCare to be sent by email (we do not send general communications by email)

Upang i-update ang iyong regular na impormasyon sa pakikipag-ugnayan, kumpletuhin ang I-update ang Form ng Impormasyon sa Pakikipag-ugnayan

Kung kailangan mo ng tulong sa form na ito, tawagan ang Member Services.