Get the free MyChart Child Proxy Access Form (mat code 31888)-rev 20170509 final
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MyChart by Hawai i Pacific Health Child Proxy Access Request Form PLEASE PRINT THE CHILD S INFORMATION IN THIS BOX patient label ok Child s Name last first middle initial Date of Birth / Month Day SSN Last 4 Digits Medical Record Number MRN Year I understand that Hawaii Pacific Health and its affiliate health care providers collectively HPH share an integrated electronic medical record. Important MyChart messages from Hawai i Pacific Health. My activities within my MyChart account may be...
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How to fill out mychart child proxy access
How to fill out mychart child proxy access
01
Step 1: Sign in to your MyChart account
02
Step 2: Go to the 'Profile' section
03
Step 3: Under 'Profile', click on 'Manage Child Proxy Access'
04
Step 4: Follow the prompts and provide the necessary information
05
Step 5: Review and agree to the terms and conditions
06
Step 6: Submit the request
07
Step 7: Wait for approval. You will receive a notification when the request is processed
08
Step 8: Once approved, you will have access to your child's MyChart account
Who needs mychart child proxy access?
01
Parents or legal guardians who want to access their child's medical information and manage their healthcare
02
Caregivers or family members responsible for coordinating the child's medical appointments and treatments
03
Parents or legal guardians of children with chronic illnesses or complex medical conditions who require ongoing management
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What is mychart child proxy access?
Mychart child proxy access allows parents or legal guardians to access their child's medical records and communicate with healthcare providers on their behalf.
Who is required to file mychart child proxy access?
Parents or legal guardians of children under the age of 18 are required to file mychart child proxy access.
How to fill out mychart child proxy access?
Parents or legal guardians can fill out mychart child proxy access forms online or at the healthcare provider's office.
What is the purpose of mychart child proxy access?
The purpose of mychart child proxy access is to ensure that parents or legal guardians have access to their child's medical information and can communicate with healthcare providers effectively.
What information must be reported on mychart child proxy access?
Mychart child proxy access requires basic information about the parent or guardian, as well as the child's name, date of birth, and medical history.
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