Member Materials

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VNSNY CHOICE SelectHealth

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Member Materials

The list below includes links to a variety of materials that members receive for VNSNY CHOICE SelectHealth. Just select the materials you want, and you will be able to view or download them. You may also obtain a printed copy of any CHOICE Member Materials by calling 1-866-469-7774, Monday – Friday, 8 am – 6 pm. TTY users should call 711.
Forms

Authorization for Release of Health Information and Confidential HIV Related Information - English and Spanish 

RHIO Consent Form and Health Information Fact Sheet

Check below for forms and fact sheets about Health Information Exchanges and Regional Health Information Organizations.

  • Authorization for Access to Patient/Member Information Through a Health Information Exchange Organization (EnglishSpanish)
  • Health Information Exchange Fact Sheet (EnglishSpanish)
Privacy Forms

VNSNY CHOICE Notice of Privacy Policies - EnglishSpanishChineseKoreanRussian 

Important Member Notices

New York Westchester Square Medical Center Closing - English and Spanish 

Specialty Pharmacy Notice

VNSNY CHOICE SelectHealth Brochure 

Member Newsletters

Last updated 5/2/2017

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