Consent Notice

What you are agreeing to

When you submit a request or ask us to connect you, you agree that we may:

• Contact you using the method and time you told us you prefer.
• Share what you told us with a Community Care Connection care navigator.
• Share the minimum information necessary with an organization when you ask us to connect you to them.
• Record the status of your request and referrals so we can follow up.

What we will not do

Your consent does not allow us to:

• Share your information with an organization you have not asked to be connected to.
• Sell your information or use it for advertising.
• Share your Aunty conversations with providers.
• Make any decision on your behalf, including any clinical or eligibility decision.

Referrals from a hospital or agency

When a hospital, skilled nursing facility, hospice or agency refers you, that organization attests it has the authorization required to share your information with us. We will still contact you and confirm what you want before we send a referral anywhere.

Withdrawing consent

You can withdraw consent at any time by telling your navigator, emailing aloha@example-ccc.test, or calling (808) 555-0100. Withdrawing consent stops future sharing; it cannot undo a referral already sent.

Consent for someone else

If you are asking on behalf of another adult, please involve them where you can. If you hold legal authority such as a power of attorney or guardianship, tell your navigator — it affects what we can do.

Not a HIPAA authorization

This consent is an agreement with Community Care Connection, a care-navigation service. It is not a HIPAA authorization, and we do not claim HIPAA certification. Your clinicians and hospitals have their own separate processes.