Other Authorized Uses of Health Information

Other uses and disclosures of medical information not covered by this Notice of Privacy Practices or the laws that apply to us will be made only with your written authorization.

• If you provide us with an authorization to use or release medical information about you, you may end that authorization, in writing, at any time.
• If you end your authorization, we will no longer use or release medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your authorization.

A parent, legal guardian, or properly named patient advocate may represent you if you cannot provide an authorization. Authorization is needed for certain releases of information dealing with mental health issues, substance abuse issues, HIV/AIDS and grievances/appeals. We can provide you with a Sample Authorization Form. You may also end an authorization by writing to Priority Health's Legal Department.


Learn about Priority Health's policy and procedures to ensure Confidentiality in All Settings