Emory Health Information Exchange Opt-Out Form

Opting out of the HIE may delay access to important medical information; however, participation in the Emory HIE is your choice. If you choose to opt out and not participate in the HIE, your health information will not be shared among health care providers through the HIE. Instead, your providers will continue to share information via previously established methods, such as phone, fax, mail or through an existing electronic medical record. This also means that opting out of the HIE does not affect the sharing of information by providers using the same electronic medical record. It applies only to the HIE.

To opt out, download the form at the below link and follow the instructions on the form.

Opt-Out Form