GEHA will perform system maintenance today (September 18) from 7:30 p.m. to 9:30 p.m. Central time. Portions of this website might not be available during this time. We apologize for any inconvenience.

Revocation of Authorization to Disclose Protected Health Information Form

GEHA health plan, Connection Dental Plus® and/or Connection Vision® powered by EyeMed members and dependents may use this form to revoke or remove an authorization for disclosure of protected health information.