GEHA will be closed in observance of the Birthday of Martin Luther King Jr. on Monday, January 20. We will reopen at 7 a.m. Central time on Tuesday, January 21.

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.