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Mid-Atlantic StatesHealth Information Exchange Opt Out Request Form Original: 07/26/13MR#: Name: Sex/BD:Revised:Health Information Exchange (HIE) is the sharing of health information electronically
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Health Information Exchange Opt refers to the process of opting in or out of sharing your health information electronically with other healthcare providers.
Healthcare providers, patients, and other entities involved in the exchange of health information may be required to file Health Information Exchange Opt forms.
Health Information Exchange Opt forms can usually be filled out online through a secure portal provided by the healthcare provider or organization.
The purpose of Health Information Exchange Opt is to give individuals control over who can access their health information electronically.
Health Information Exchange Opt forms typically require basic personal information and consent preferences regarding the sharing of health information.
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