Release of Information
At Navitus, the privacy and security of member information is a key focus. We also recognize that you may have other family members or friends who assist with your care. As a Navitus member's personal representative, it is easy to communicate your preference.
Simply print and complete the Release of Information form for Protected Health Information (PHI).
If you are a personal representative for the member, please include documentation that supports your role such as a power of healthcare attorney form. This can be mailed or faxed to:
Navitus Health Solutions
PO Box 999
Appleton WI 54912-0999
Confidential Fax: 855-668-8549
We will review the form and document the release on your member account. This allows Navitus to help honor our members' choices. For any questions on the form, call Customer Care at the toll-free number on your pharmacy benefit member ID card.