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Get the free MyHealth Child Proxy Form (2).doc - northfieldhospital

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Health Info Parent/Guardian Form Access to Your Child's Health Info Record To sign up for access to your children Health Info record, please complete both pages of this parent/guardian form and return
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The myhealth child proxy form is a form that allows a parent or guardian to access the medical records of their child.
Parents or legal guardians are required to file the myhealth child proxy form in order to access their child's medical records.
The myhealth child proxy form can be filled out online or in person at a healthcare facility. The form requires basic information about the parent or guardian and the child.
The purpose of the myhealth child proxy form is to allow parents or guardians to access their child's medical records and make informed decisions about their healthcare.
The myhealth child proxy form requires information such as the parent or guardian's name, contact information, and relationship to the child, as well as the child's name and date of birth.
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