Search by Form Type
Authorization For Disclosure OR Request For Access To Protected Health Information
Complete this form to authorize the use and disclosure of your private information (PI) held by Horizon.
ID: 32261
Over-the-Counter, At-Home COVID-19 Testing
You can get at-home OTC COVID-19 tests in stores and online.
Notification_closeComplete this form to authorize the use and disclosure of your private information (PI) held by Horizon.
ID: 32261
Please note that these forms are to be used by Federal Employee Program Members only