Authorizations
Authorize access to your personal health information and ensure your privacy
Please download the following authorizations and complete as indicated. You can email your completed authorization(s) to support@novellia.com.
- Authorization to Use and Disclose Health Information (this authorization can be used if you want your health care provider to disclose your health information to Novellia).
- Authorization for Further Disclosure (this authorization can be used if you want Novellia to be able to disclose your health information to its client network or your other health care providers for research, evaluation, analysis or treatment activities).
- Authorization to Sell Consumer Health Data (this authorization can be used if you want to allow Novellia to sell your consumer health data to its client network for research, evaluation, and analysis activities).
Novellia - Authorization to Sell Consumer Health Data.pdfNovellia - HIPAA_CA Authorization.pdfNovellia - Authorization for Further Disclosure.pdf