HIPAA and 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.