The CHW medical plans are required to keep your health information private.
One of the ways the CHW medical plans do this is by telling you about your privacy rights.
Please read the "Notice of Privacy Practices" below. It tells you how the CHW medical plans uses and gives out your
health information. It also explains the CHW medical plans' duties and your rights.
Please call us at 1-866-289-6195 with questions. If you have trouble hearing, you can call our TDD/TTY number, 1-800-367-8939.
Notice of Privacy Practices
If you would like to submit a privacy request, please use the Privacy Request Form.
If you want us to give out your records in writing, such as to a friend or family member,
please use the Privacy Authorization Form. These forms are available below.
Privacy Request Form
Privacy Authorization Form