Personal Choice
The RGV HIE provides many benefits to patients but participation in RGV HIE is voluntary — you have a choice if you want your information included in the RGV HIE.
Your health care providers are required to inform you of their participation in the RGV HIE. When you visit a participating provider you will receive a notice, which may accompany the provider’s HIPAA privacy notice.
Opt-Out Decision
As a patient you can choose to “opt out” of including your health information in the RGV HIE system by signing the Opt-Out Request Form. Understand that by submitting an HIE OPT-OUT Request Form your health information WILL NOT be available for health care providers to view in an emergency. Emergency room physicians and other medical professionals may not have access to your complete medical information which could save your life in some circumstances.
Opt-Out Process (Preferred):
If you visit a doctor’s office, hospital or clinic that is participating in the HIE and do not want your health information included, simply tell your doctor or participating health care provider. Your will be required to complete the RGV HIE Opt-Out form. Completed Opt-out forms will be filed by your Provider. We encourage you to first talk to your doctor about this decision or to review our FAQ about health information exchange.
Opt-Out Process (option):
Alternatively, if Provider is not available you can mail completed Opt-Out form directly to the RGV HIE.
- Print this RGV HIE Opt-Out Form: English version (PDF) or Spanish version (PDF)
- Mail the original form to:
Attn.: Service Desk – HIE Request
1816 East Harrison Ave. Ste. A, Harlingen, Texas 78550
RGV HIE Revocation of Opt-Out Form
If you have previously opted-out, you may opt back in at any time. If you visit a doctor’s office, hospital or clinic that is participating in the HIE, tell the doctor or other health care provider and sign a “Revocation of Opt-Out” form.
Alternatively, you can “opt-in” directly with RGV HIE:
- Print this RGV HIE Revocation of Opt-Out Form: English version or Spanish version (PDF)
- Mail the original form to:
Attn.: Service Desk – HIE Request
1816 East Harrison Ave. Ste. A, Harlingen, Texas 78550
Questions?
You may contact us online or call our Help Desk at 956-622-5801.