Magellan Behavioral Health of Pennsylvania, Inc.

Consent to Release Protected Health Information (PHI)

Magellan Behavioral Health of Pennsylvania, Inc. (Magellan) managing care for:

Pennsylvania HealthChoices - Bucks, Cambria, Lehigh, Montgomery, and Northampton Counties

Protected Health Information (PHI) means information about your health. Federal and state laws protect the privacy of your PHI. The laws say we cannot give anyone other than your doctors or Pennsylvania HealthChoices your PHI unless you say it is OK. By submitting this online form, you give us your OK. We will only give out the PHI that you say we can share. And, we will only give it to the people or agencies that you list. Do you have questions? We can help. Call Magellan at:

Bucks County:
1-877-769-9784

Cambria County:
1-800-424-0485

Lehigh County:
1-866-238-2311

Montgomery County:
1-877-769-9782

Northampton County:
1-866-238-2312

Members who are hearing impaired can reach us by using PA Relay 7-1-1