CIE Authorization Forms – 211 San Diego

CIE Authorization Forms

  • What is an Authorization?

A CIE authorization is a legal document that allows information to be shared across health and social services within the CIE network for the purpose of care coordination. A signed CIE authorization represents a person’s informed consent to share their information with the CIE Partner Network.  

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

  • Value

When a person opts-into CIE, service providers working with this person are able to access key information to coordinate care, intervene during critical situations and provide responsive interventions.

  • 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