Give permission for someone to speak with your care team

Best first step: Decide what you want your support person to be able to discuss with your care team, and whether the permission should apply to one visit, one care episode, Brookhaven, Alchemilla, or all Silent Hill Health care.

• You can give permission for someone to speak with your care team about selected care topics.
• Permission can be broad, limited, temporary, visit-specific, or service-specific.
• Speaking permission does not always include portal access, proxy access, records access, billing access, or decision-making authority.
• Brookhaven behavioral health information, safety plans, crisis notes, and medication details may still have additional privacy limits.
• You can usually change or remove permission later.
• If someone is misusing access or safety is urgent, ask for immediate privacy, account, or safety review.

• You choose who may be included.
• You may choose what information can be discussed.
• You may choose whether permission applies to one visit or ongoing care.
• You may choose whether permission applies to Brookhaven, Alchemilla, the portal, or another Silent Hill Health service.
• Staff may still need to verify the person’s identity before sharing information.
• Some information may remain limited even after permission is added.

Person type	How they may help
Family member or partner	Help with appointments, care questions, transportation, discharge planning, or follow-up support.
Friend, roommate, or trusted support person	Help with reminders, questions, daily support, care logistics, or safety-plan steps you want shared.
Caregiver or home support person	Help with medication pickup, home routines, care coordination, mobility needs, or follow-up planning.
Legal representative	Help based on legal documents and the scope of authority provided.
Interpreter, advocate, or accessibility support	Help with communication, appointment support, or accessibility needs when allowed.

• Appointment scheduling or visit logistics.
• Transportation, check-in, visitor, or support-person instructions.
• Medication pickup, refill timing, or pharmacy coordination when authorized.
• Discharge instructions or follow-up planning when allowed.
• Safety-plan steps you agree to share.
• Care conference or family meeting details.
• General care coordination and next steps.
• Selected records or forms if the right authorization is on file.

Important: Speaking permission does not automatically allow the person to make decisions for you, access your portal, view all records, receive billing details, or see sensitive Brookhaven information.

• It may not allow portal caregiver or proxy access.
• It may not allow full medical or behavioral health record access.
• It may not allow billing or guarantor information.
• It may not allow the person to make care decisions unless legal authority applies.
• It may not allow access to every medication detail, safety plan, crisis note, or therapy note.
• It may not apply to every Silent Hill Health service unless specified.
• It may not continue after the date, visit, or purpose you choose.

• You may allow someone to join discharge planning without giving full record access.
• You may allow staff to discuss medication logistics without sharing all medication history.
• You may allow a support person to receive safety-plan steps you choose to share.
• You may ask staff to include someone in a family meeting or care conference.
• Some crisis, observation, or safety-review details may still require special handling.
• Formal records requests may still be needed for some documents.

1. Choose the person you want staff to speak with.
2. Decide what topics staff may discuss.
3. Decide whether permission should be temporary or ongoing.
4. Decide whether permission applies to Brookhaven, Alchemilla, the portal, or all Silent Hill Health services.
5. Complete any required authorization, release, or access form.
6. Ask when permission will take effect.
7. Ask what information may still remain limited.
8. Ask how to change or remove permission later.

• Your full name and date of birth.
• Your contact information.
• The authorized person’s full name.
• The authorized person’s phone number or email.
• Your relationship to the authorized person.
• What information staff may discuss.
• Which service or facility the permission applies to.
• Whether permission is temporary, limited, or ongoing.
• Any information you want excluded.
• Any safety, privacy, coercion, or access-misuse concerns.

Permission type	Example
Visit-specific	The person can join or discuss one appointment only.
Topic-specific	Staff may discuss transportation or medications but not therapy details.
Facility-specific	Permission applies to Brookhaven but not Alchemilla, or the reverse.
Time-limited	Permission ends after discharge, after a date, or after a care episode.
Ongoing	Permission continues until you update or remove it, when allowed.

• Remove the person completely.
• Change broad permission to limited permission.
• Update the person’s phone number or email.
• Limit permission to one service or topic.
• End temporary permission early.
• Ask for urgent privacy review if access is being misused.

Do not wait for a routine permission request, portal message, or records review if the issue involves immediate safety, abuse, coercion, stalking, unauthorized access during an emergency, or someone using access to interfere with care.

• If you are at Brookhaven or Alchemilla, tell reception, registration, security, or the care team immediately.
• If someone may harm themselves or someone else, use crisis or emergency support.
• If there is a medical emergency, use emergency services or Alchemilla Emergency Services.
• If access is being misused, ask for immediate account or privacy review.
• If a support person is worried about safety, they can share concerns even if permission is limited.