
Get the free MyChart Sign-Up and Proxy Form
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Access to Another Patient s or godchild s’s Chart Record Thank you for your interest in Chart, an easy-to-use Internet tool that provides quick and secure online access to your health information
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How to fill out mychart sign-up and proxy

How to fill out mychart sign-up and proxy:
01
Visit the website of your healthcare provider that offers MyChart.
02
Look for the MyChart sign-up page and click on it.
03
Fill in the required information, such as your name, date of birth, and contact details.
04
Create a unique username and password for your MyChart account.
05
Review the terms and conditions and accept them.
06
Complete any additional steps or questions specific to your healthcare provider.
07
Once you have filled out all the required information, click on the submit or sign-up button.
08
You may be asked to verify your email address or phone number to complete the registration process.
Who needs MyChart sign-up and proxy?
01
Patients who want convenient access to their health information, test results, and medical records.
02
Individuals who wish to schedule appointments, request prescription renewals, and communicate securely with their healthcare providers.
03
Caregivers or family members who have been granted proxy access by a MyChart user, allowing them to manage the user's account and receive updates on their behalf.
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