e following choices Please check one box 2 below. • • 1. I GIVE CONSENT to ALL of the HIE Participants listed on the NYUL Health HIE website and Care Everywhere Providers to access ALL of my electronic heath information through the NYUL Health HIE and I GIVE CONSENT to ALL employees, agents and members of the medical

You have the Wowing Voices check one boa Er below II a I. I GIVE CONSENT to ALL of the HIE Partecipancs listed on the NYUL Health HIE **baste and Care Everywhere Providers to access ALL of my aleatoric hewn information through the NYUL Health HIE and I GIVE CONSENT to ALL employees, agents and members of the medical st