eek Boxl of 2: • m S I rVE CONSENT to ALL of than HIE Participant listed on the Mount Sinai HIE website to access ALL. —Grainy eleab-onroliealth- TrifditurdiailltrucgtrtheiMount-Sinal-HIEandIGIVL-GONSEMT-to-A1_4--amployeesr - agents and members of the medics] staff of Mount Sinai to access AU, of my electronic health Information through HEAD-