HIPAA & Privacy Forms

The Health Insurance Portability and Accountability Act (HIPAA) ensures your access to various health and human services, and it protects the privacy and security of your medical records and information.

As a health plan, CountyCare regularly communicates with your provider about your care, and we follow strict guidelines outlined by HIPAA.

These forms can help you:

Download the forms above to make a request regarding your medical records. Questions? Call us at 312-864-8200 / 711 TTD/TTY.

Our region is under a

Heat Advisory

Heat indices are expected to reach up to 105º Fahrenheit

Stay safe in hot weather by drinking plenty of water, limiting time outdoors, staying in cool or shaded areas, taking breaks when working outside, wearing lightweight clothing, checking on relatives and neighbors (especially older adults) and never leaving children unattended in a parked vehicle.