MBHN Members - Protecting My Privacy

New Avenues respects our members’ rights to privacy and confidentiality. Information about members is carefully protected according to the laws and regulations of the State of Indiana and federal laws regarding privacy and confidentiality of records. The sharing of information requires a written Consent for Release of Information.

Protecting my Privacy - Confidentiality Forms

  1. Member Consent for Release of Information
  2. Authorization For Release Of Medical Record