The Online Resource for Massachusetts Poverty Law Advocates

MassHealth Permission to Share Information form (PSI)

Date: 
02/01/2013
Author: 
EOHHS

Use this form if you want to give MassHealth permission to share the information they have about you with another person or organization. It is also needed to communicate with Disability Evaluation Services.  Click the "Go to Website" link below to download the form in English, Spanish or large print from the MassHealth website.