HIPPA CONSENT FORM

To authorize O.L.I. Advocacy, LLC to review and discuss your child’s medical information, please complete our HIPAA-compliant consent form.

🔹 Click [here] to access the consent form.

  • You’ll be prompted to enter your email address.

  • A secure form with an e-signature request will be sent to your email shortly after submission.

  • You fill in your information and sign electronically or download and print the form.

🖨️ If you prefer, the form is also available HERE as a downloadable file.

Simply print, sign, and email it to:

📧 shannon@oliadvocacy.com

UPLOAD MEDICAL RECORDS SECURELY

Need to share medical records, supporting documents, or case files?

Please click HERE to securely upload. them through our HIPPA-compliant portal.