OPT-OUT OR OPT-BACK-IN FORM FOR THE PENNSYLVANIA PATIENT & PROVIDER NETWORK
https://www.dhs.pa.gov/providers/Providers/Documents/Blank%20Opt%20out%20form.pdf
OPT OUT of the Pennsylvania Patient & Provider Network (P3N)
Patient Options – Opt Out / Back In.
HealthShare Exchange is a voluntary secure network of healthcare providers, health insurers, and public health agencies.
https://www.healthshareexchange.org/patient-options-opt-out-back