Electronic Delivery of ICUBA's Combined Annual Notices
The U.S. Department of Health and Human Services (HHS) issued a final rule in April 2024 that strengthens privacy protections under HIPAA. This update enhances the Notice of Privacy Practices (NPP), Aligning privacy notices with additional federal confidentiality rules that protect substance use disorder (SUD) treatment records. These changes are designed to further safeguard your personal health information and ensure greater confidentiality when accessing reproductive healthcare and SUD treatment services.
Consent to Electronic Disclosure Form
I understand that I can request a paper copy at any time without charge, and that I can withdraw this consent at any time. I also have the ability and the necessary equipment to access the applicable websites and view documents online.
Update Email Address
used for Consent
I understand that I may update the email address used for electronic delivery at any time. I understand that I may update my communication preferences using the instructions in the annual notices disclosure, or complete the form below.
Request for Delivery
of Paper Notice
I understand that I am entitled to obtain a paper version of any electronically furnished document free of charge at any time by following the instructions provided in the summary notice or by completing the form below.