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Authorization for Proxy Access to KHAN Patients KHNMyChart Account
Requirements and Procedures
This form may be used to authorize proxy access to another persons KHNMyChart account for the following
purposes:
1.
Access
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How to fill out khnmychart form

How to fill out khnmychart:
01
Visit the khnmychart website or download the mobile app.
02
Click on the "Sign Up" or "Create an Account" button.
03
Provide your personal information such as your name, date of birth, and contact details.
04
Create a unique username and password for your account. Make sure it meets the security requirements.
05
Agree to the terms and conditions and privacy policy of khnmychart.
06
Verify your identity by following the provided instructions. This may involve answering security questions or receiving a verification code via email or text.
07
Once your identity is confirmed, you can start using khnmychart to manage your healthcare information.
Who needs khnmychart:
01
Patients: Individuals who receive healthcare services from a provider connected to khnmychart can benefit from using this platform. It allows patients to securely access their medical records, schedule appointments, communicate with their healthcare providers, request prescription refills, and view test results.
02
Caregivers: Family members or friends who are responsible for managing the healthcare needs of someone else can use khnmychart to access the medical records and information of the person they are caring for. This helps in coordinating care and staying informed about the individual's health status.
03
Healthcare Providers: Medical professionals and healthcare organizations can utilize khnmychart as a tool to improve patient engagement and streamline communication. It allows them to securely share medical information with their patients, provide online consultations, send appointment reminders, and track the progress of their patients' conditions.
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