High-quality Services Support to Health Care Entities at its Best


Confidential Communication Requests
Confidential Communication Request (CCR) Form – Omnicare
  1. You have privacy right to have your PHI about Sensitive Services sent to you instead of to the person who is the primary contact for your health insurance. Use this form to submit a confidential communication request.
  2. For English version of the CCR form, click HERE. For Spanish version, click HERE.

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