Please click on www.nchs-health.org for information about North County Health Services privacy practices.

HIPAA Authorization Form

Your IPA/Medical Group needs your approval to share medical information about you with individuals outside of your providers and health plan. You may notify us to release information to anyone (i.e., spouse, child). To authorize the release of this information, please click here to download the HIPAA Authorization Form. You can print and complete the form to return to your medical group.