Get THIS FORM WILL ALLOW ME, AS A CIGNA HEALTHCARE* MEMBERPARTICIPANT TO REQUEST TO RECEIVE COMMUNICATIONS OF PRIVATE HEALTH INFORMATION (PHI) ABOUT ME BY ALTERNATIVE MEANS OR AT ALTERNATIVE LOCATIONS

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Request for Confidential Communications THIS FORM WILL ALLOW ME, AS A CIGNA HEALTHCARE * MEMBER/PARTICIPANT TO REQUEST TO RECEIVE COMMUNICATIONS OF PRIVATE HEALTH INFORMATION (PHI) ABOUT ME BY ALTERNATIVE MEANS OR AT ALTERNATIVE LOCATIONS. If a request is made for an alternate location, I understand correspondence will continue to be addressed to me, but will be mailed to the address I provide below. I understand...
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