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PHI Consent Tool

There are multiple state and federal laws that address what health information can be shared, when it can be shared, and with whom.

In order to reduce confusion about when an individual's consent is necessary to share health information, the Michigan Health Endowment Fund commissioned Altarum to create resources to help clinicians, providers, payers, and others navigate the laws surrounding health information. These resources are intended to increase the flow of patient information from clinician to clinician, particularly with respect to behavioral health information, resulting in improved care coordination across the state of Michigan. MDHHS shares these desires for better information flow and better care coordination and is therefore making these resources available here.

 The Protected Health Information (PHI) Consent Tool (41 pages) contains comprehensive information for navigating consent decisions with behavioral health, general medical, and domestic violence PHI. It includes easy-to-navigate grids that reference both Michigan and federal laws and regulations to provide clear guidance about when consent is necessary for common PHI requests. It also includes a full glossary and overview of the state and federal laws that govern the exchange of PHI.

The PHI Consent Tool Quick Tips (3 pages) is a quick guide that highlights the top 8 tips you should know for simplifying the exchange of behavioral health, general medical, and domestic violence PHI in Michigan.

The PHI Consent Tool Grids (15 pages) contains just the easy-to-navigate grids from the PHI Consent Tool, without the full glossary and legal details of the full tool.



 The PHI Consent Tool Video Series was designed by Altarum to complement the PHI Consent Tool and to help Michigan stakeholders better understand the laws and best practices for sharing Protected Health Information, or PHI.

Introduction to the PHI Consent Tool


Sharing Domestic Violence Protected Health Information (DV PHI)


Sharing the Protected Health Information (PHI) of Minors


Sharing Substance Use Disorder Protected Health Information (SUD PHI)


For any questions you may have, please contact You can also visit Altarum's program website to learn more about Altarum and this project.

Please note that these resources are for informational purposes only. Nothing in these documents represents the official position of MDHHS or the State of Michigan. They are not intended to provide legal advice or to address all circumstances that might arise. Individuals and entities using these documents are encouraged to consult their own legal counsel.