Patient Privacy Is Important to Us
If you are covered by someone else's insurance (such as a partner, spouse, or parent), information about your visit may be shared with the policy holder. If sharing that information could put you at risk, you have options.
The Request for Confidential Communications Form is a new way for you to protect your privacy when you access care. It allows those who feel they may be endangered by the disclosure of medical information to divert insurance communications to an alternate address.
Once you have completed this form, you can send it to your insurance provider and work with them to ensure your communications are sent to another address.
If you have any questions, please call us at 410-576-1414 or email [email protected].