Patient Access API Form | Curana Health

Third Party Application – Patient API Access

Please complete the form below

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First Name

Last Name

Phone Number

Organization

Organization Website

policy to email

Dun & Bradstreet Number (DUNS)

if not available, we will reach out to request for additional information

Your role with the organization

Authority to bind Organization to all attestation items

Have you read and agree to abide by the Curana Health Notice of Privacy and Terms of Service?

Access Required?

Name of the Application

Application URL

Describe how your application will use patient data

Link to your publicly available Terms of Service

Link to your publicly available Privacy Policy

Please list all of the domain names that you plan to use to connect with our infrastructure

Does your Privacy policy comply with CMS and HIPAA regulations?

Additional email address(es) for notifications

Mailing address for paper notifications and other forms of communication

Developers should first register using the Patient Access form to use the patient access API
Click on the Third-Party Application Owner User Guide to get started.