Office of the Healthcare Advocate

State of Connecticut

Official Website: https://portal.ct.gov/OHA

The mission of the Office of the Healthcare Advocate (OHA) is to assist consumers with healthcare issues through the establishment of effective outreach programs and the development of communications related to consumer rights and responsibilities as members of healthcare plans.

Forms & Documents

Browse all Office of the Healthcare Advocate government forms

All 5 forms

Form Title Topics
Authorization for Use and Disclosure of Private/Protected Health Information Instruction Sheet
OHA Authorization for Release of Information with Medicare
Outreach Request Forms
SAMPLE OHA Authorization for Release of Information
SAMPLE OHA Authorization for Release of Information with Medicare

Contact Information & Office Locations

1 contact point

Main Office

Address:
P.O. Box 1543
153 Market Street
6th Floor
Hartford, CT 06144

Phone numbers:
  • (866) 466-4446 (toll-free)
Fax numbers:
  • (860) 331-2499
Emails:
  • Healthcare.advocate@ct.gov

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