Home
For Consumers
Opt Out
HIT Home
Health Information Technology Home
What would you like to do?
Submit Electronically
I would like to electronically request restrictions on access to health information through Electronic Health Information Technology (Opt Out)
I would like to electronically request to revoke restrictions on access to health information through Electronic Health Information Technology (Revoke Opt Out)
Submit a Paper Form Through the Mail
I would like to mail a request for restrictions on access to health information through Electronic Health Information Technology (Opt Out)
I would like to mail a request to revoke restrictions on access to health information through Electronic Health Information Technology (Revoke Opt Out)