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.