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HEALTH INFORMATION SERVICES CONSENT FOR PROXY ACCESS TO Chart AND TO PROTECTED HEALTH INFORMATION Today's Date: Note: Asterisk (*) denotes required information. Thank you. Patient Information *Patient
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How to fill out sansum mychart form

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How to fill out sansum mychart:

01
Visit the Sansum MyChart website or download the MyChart app on your smartphone.
02
Click on the "Sign Up Now" button to begin the registration process.
03
Fill in your personal information such as name, date of birth, and contact details.
04
Create a unique username and password for your MyChart account.
05
Verify your identity by answering the security questions provided.
06
Review the terms and conditions of using MyChart and accept them.
07
Choose your preferred communication method for receiving notifications from Sansum MyChart.
08
Provide your social security number or other identification details as required.
09
Complete the registration process by clicking on the "Finish" button.

Who needs sansum mychart:

01
Patients of Sansum Clinic who want convenient access to their medical information.
02
Individuals who prefer to manage their healthcare online and access their medical records securely.
03
Caregivers who want to access health information for their loved ones who are Sansum Clinic patients.
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Sansum MyChart is an online tool that allows patients to access their medical records, schedule appointments, and communicate with their healthcare providers.
Patients who receive care at Sansum Clinic are required to enroll in and use MyChart.
Patients can sign up for MyChart by visiting the Sansum Clinic website and following the instructions for enrollment.
The purpose of MyChart is to provide patients with easy access to their medical information and facilitate communication with their healthcare providers.
Patients can access their test results, medications, immunization records, and other medical information through MyChart.
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