The medical groups, hospitals, and other healthcare-related entities (Participants) who care for you and related parties who pay for such healthcare services share your health information through Mississippi Health Access Exchange , a secure, electronic Health Information Exchange (HIE)* unless you Opt-Out of Mississippi Health Access Exchange.
If you do not want your health information shared and used through the HIE, complete and submit the form below. By submitting this completed Opt-Out Form you understand and agree that: