Liberty’s privacy program

Your privacy rights

You have the right to exercise the following actions:

Request to authorize a representative to access protected health information (PHI)

Request an accounting of disclosures

Request an amendment to your record

Request confidential communications

Request records

You also have the right to file a complaint if you believe that your privacy rights have been violated. We will not take action against you for filing a complaint. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services.

Make a privacy request or complaint

To submit a request or complaint, choose any of the contact methods below. Make sure to include your name and the details of your request.

For PHI authorization requests, please include the PHI authorization form. Visit the Forms and plan documents page to download this form in your preferred language.