Choosing to “opt out”
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 the doctor or other healthcare provider and sign an “opt out” form. We encourage you to first talk to your doctor about this decision or to review our FAQs about health information exchange.
By opting out of the Contexture HIE, emergency department doctors and other care providers may not have access to your complete medical information that could save your life in some situations.
You can also “opt out” directly with Contexture:
Print this Contexture Health Information Exchange Opt-Out Form: English PDF or Spanish PDF
Fill out the form completely and have a notary public verify your information and sign it. This is required for your protection and to verify identity.
If you are acting as a guardian or authorized representative for a patient over the age of 18, we require documentation of this relationship to be submitted Contexture along with the notarized form. If you have questions about this documentation, please contact us.
Mail the original form to:
Attn.: Service Desk – Colorado HIE Request
2000 S. Colorado Blvd.,
Tower 1, Ste. 12000
Denver, CO 80222
Note: Contexture’s HIE in Colorado was formerly named CORHIO. While some forms may reflect the previous name due to legal requirements, they are still valid and applicable to all providers participating in the Contexture HIE.