Surescripts Privacy Office

Patients can opt-out of the following Surescripts services:

• Medication History for Ambulatory
• Medication History for Populations
• Medication History for Reconciliation
• Record Locator and Exchange
• Surescripts Health Information Network Interconnect

If you would like to opt out, please complete and have notarized the Surescripts Request and Authorization Form. Return the form and any applicable supporting documentation to Surescripts’ Support at 2550 South Clark Street, Suite 1000, Arlington, VA 22202. Once the opt out has been processed, we will follow up with confirmation within 10 business days.

Surescripts does not have direct relationships or interactions with patients. We require completion of this document to verify your identity and authority and appropriately locate and identify you within our system.

Surescripts operates a Health Information Network where Network Participants participate for e-prescribing and related services that facilitate e-prescribing, like Medication History, Record Locator and Exchange, and Interconnect. 

Healthcare providers, pharmacies, pharmacy benefit managers and other organizations that use Surescripts services agree to only use and share your information as permitted by federal and state laws, including HIPAA.

You will be notified if there is a breach of your information or if your information is accessed by someone without authorization.

Surescripts Medication History equips healthcare providers who care for patients with access to a patient's medication history across providers, as part of the medication reconciliation process at the point of care. 

If a patient opts out, their health information will no longer be shared through Surescripts and may affect their healthcare providers’ ability to obtain their health information. Patients will need to maintain their own records and medication history list.

Opting out renders your information undiscoverable to future requests through the Surescripts network. Opting out will not remove the information that must be retained for audit and record retention purposes or that was already provided in response to previous requests.

Yes. After opting out, providers will continue to be able to electronically send prescriptions on your behalf. It is not possible to opt out of E-Prescribing through Surescripts – this must be done through your provider.

Yes. If you would like to opt back in, please contact optout@surescripts.com.

Specific questions regarding consent or HIPAA authorizations should be directed to your Covered Entities (healthcare provider, health plan, pharmacy, etc.)

Surescripts is not a Covered Entity of any type under HIPAA and does not maintain designated patient records.

Therefore, Surescripts is unable to provide copies of medical information. Please refer to your Covered Entities (healthcare provider, health plan, pharmacy, etc.) for copies of medical information.