Complete Your Consent Form to Begin Accessing YourBlueprint®
After your healthcare provider initiates your enrollment, please provide your consent.
There are two ways to finalize your enrollment listed below. You will need to submit a form that provides your consent and HIPAA authorization.
Option 1: Online
Complete online with DocuSign®: e-consent & HIPAA authorization form
Please complete and sign the consent and authorization form online through DocuSign®.
Option 2: Offline
Download form, complete, print & send via e-mail, fax or mail
If you prefer to provide your consent and authorization offline, please download and complete the form. Then send it to the email, fax or mailing address provided on the form.