Home
Forms Library
Personal information preference

Personal information preference 2025

personal information preference Preview on Page 1

Show details

4.9 out of 5

56 votes

The document is a consent form for Medicare beneficiaries to change their preferences regarding the sharing of personal health information with Indiana University Health ACO, Inc. It outlines the process for consenting or declining to share information, emphasizes the importance of privacy, and provides contact information for assistance. The form must be completed if a beneficiary wishes to alter their previous decision about information sharing.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to change Personal information preference online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your documentation requires only a few simple clicks. Follow these fast steps to change the PDF Personal information preference online for free:

Register and log in to your account. Log in to the editor with your credentials or click Create free account to test the tool’s capabilities.
Add the Personal information preference for editing. Click the New Document option above, then drag and drop the file to the upload area, import it from the cloud, or using a link.
Adjust your template. Make any adjustments required: add text and images to your Personal information preference, underline details that matter, erase parts of content and replace them with new ones, and add symbols, checkmarks, and fields for filling out.
Finish redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super easy to use and effective. Give it a try now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the 3 types of personal information?

What are Some Examples of Sensitive Data? Racial or ethnic origin. Political beliefs or religious beliefs. Genetic or biometric data. Mental health or sexual health. Sexual orientation and sex life. Possession or lack of trade union membership. Financial information. Criminal convictions and offences.

What are examples of personal information?

Preference data is data that focuses on user perceptions. Preferences refer to certain characteristics that any consumer wants in order to improve a good or service for himself.

What is an example of a personal information?

Examples of personal information are: a persons name, address, phone number or email address. a photograph of a person. a video recording of a person, whether CCTV or otherwise, for example, a recording of events in a classroom, at a train station, or at a family barbecue.

Try more PDF tools