NYULMC-HIE Patient Consent Form (with HEALTHIX and Epic Care Everywhere)

The HIE Patient Consent Form is available in several languages. 
Please click on the desired language below to download the form.

• Albanian
• Arabic
• Bengali
• Chinese
• English
• Filipino
• French
• Greek
• Haitian Creole
• Italian
• Korean
• Polish
• Russian
• Spanish
• Urdu
• Yiddish

Send signed forms to HIE Consent FAX: 917-829-2096

For more information, please contact: HIE@nyumc.org, or call 212-404-4101