Notice of Non-Discrimination
Driscoll Health Plan (DHP) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, disability, age, or sex.
Privacy Policy
We are required to provide this notice of our legal duties and privacy practices regarding uses and disclosures of PHI as well as inform you regarding your individual rights.
Terms and Conditions of Use
Use of the Service is governed by the terms and conditions of this Agreement. Please read this Agreement carefully before accessing or using the Service.
Statement of Ethics & Compliance Commitment
Driscoll is committed to the highest standards of honesty, professionalism, and integrity in delivering excellent healthcare.
Office of Consumer Credit Commissioner
For information and resources to help you understand events and choices that impact your personal finances (financial literacy), please visit the
Office of Consumer Credit CommissionerAuthorization for Release of Protected Health Information (PHI)
This is a Protected Health Information (PHI) form. By completing this authorization form, you agree to allow Driscoll Health Plan (DHP) to share your PHI with the people listed on the form. The form must be completely filled out and signed by the person who applied for Medicaid benefits. If you have questions or need help filling out the form, please call 1-877-324-7543 and ask to speak to a Member Advocate.
Authorization for Release PHI Form
