GEHA will be closed in observance of Thanksgiving on Thursday, November 22, and Friday, November 23. We will reopen at 7 a.m. Central time on Monday, November 26.

Revocation of Authorization to Disclose Protected Health Information Form

GEHA Connection Dental Federal® 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.