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Chart Adult Proxy Form
Access to Another Adults Chart Record
To request access to the Chart record of an adult whose medical care you help manage, please complete
this form. The patient must sign
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How to fill out slu mychart

How to fill out SLU MyChart?
01
Go to the SLU MyChart website or download the SLU MyChart mobile app.
02
Click on the "Sign Up Now" or "Create an Account" button.
03
You will be asked to verify your identity by providing your date of birth, last four digits of your Social Security number, and zip code.
04
Create a username and password for your SLU MyChart account.
05
Enter your contact information, including your email address and phone number.
06
Review and accept the terms and conditions of using SLU MyChart.
07
Once your account is created, you can log in to SLU MyChart using your username and password.
Who needs SLU MyChart?
01
Patients of St. Louis University Hospital or any of its affiliated healthcare facilities can benefit from using SLU MyChart.
02
SLU MyChart is especially useful for individuals who want convenient access to their medical records, test results, and appointment information.
03
Patients who wish to communicate with their healthcare providers securely through online messaging can utilize SLU MyChart.
04
SLU MyChart is also helpful for individuals who want to request prescription refills, view their medication list, or manage their healthcare appointments online.
05
Caregivers who want to have access to their loved ones' medical information and communicate with their healthcare providers can also make use of SLU MyChart.
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What is slu mychart?
slu mychart is an online portal that allows patients to access their medical records, communicate with their healthcare providers, and schedule appointments.
Who is required to file slu mychart?
Patients who receive care at a St. Louis University Hospital or affiliated clinic are required to create a slu mychart account.
How to fill out slu mychart?
To fill out slu mychart, patients can visit the website and follow the instructions to create an account, enter their personal information, and link their medical records.
What is the purpose of slu mychart?
The purpose of slu mychart is to improve communication between patients and healthcare providers, streamline access to medical records, and allow for convenient appointment scheduling.
What information must be reported on slu mychart?
Patients can report their medical history, current medications, allergies, immunizations, and any recent visits to healthcare providers on slu mychart.
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