SFHP Privacy Policies

SFHP Privacy Policies

San Francisco Health Plan (SFHP) is required by law to make your health information private. We are also required to let you know of our privacy practices regarding your protected health information (PHI).

Notice of Privacy Practices (Medi-Cal)
Notice of Privacy Practices (Healthy Workers HMO)

Standard Release and Authorization Form

Records Access Request Form

Assignment of Personal Representative Form

Request for an Accounting of Disclosures

Grievance and Appeal Consent Form


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