CIE Authorization Forms – 211 San Diego

CIE Authorization Forms

  • What is an Authorization?

One standard Authorization that a person opts-in to sign and allow information to be shared within the Community Information Exchange.

  • Purpose

To consent the person into a shared system to improve access to services and care.

  • Value

Once in the system, receive alerts on events, such as EMS transport or arrests.

Getting client, member or patient access to CIE to improve care among other agencies.

  • Submit Electronic Client Consent
  • Download Client Consent Form
  • Example of Authorization Use

At intake or enrollment into a program, having the individual sign if patient meets risk criteria