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ADULT PROXY REQUEST From This Adult Proxy Request Form (this Form) is to be completed by an adult patient (the Patient, you or your) who is 18 or over and can make (and understand) the Patients healthcare
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How to fill out Froedtert MyChart:

01
Visit the Froedtert MyChart website or download the mobile app.
02
Click on the "Sign Up Now" or "Register" button to start the registration process.
03
Provide your personal information, such as your name, date of birth, and contact details.
04
Create a unique username and password for your MyChart account.
05
Agree to the terms and conditions of using Froedtert MyChart.
06
Verify your identity by answering security questions or receiving a verification code via email or text message.
07
Once your account is successfully registered, log in to your MyChart account using your username and password.

Who needs Froedtert MyChart:

01
Patients who receive healthcare services from Froedtert & the Medical College of Wisconsin health network.
02
Individuals who want easy access to their medical records, test results, and appointment information.
03
Patients who wish to communicate securely with their healthcare providers, request prescription refills, or schedule appointments.
04
Caregivers or family members who assist in managing the healthcare needs of a patient and need access to their medical information.
05
Individuals who value the convenience of online services and prefer to manage their healthcare information digitally.
06
Anyone who wants to stay connected with their healthcare team and be actively involved in their own care.
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Froedtert MyChart is a secure online portal that allows patients of Froedtert Health to access their medical records, schedule appointments, communicate with healthcare providers, and manage their health information.
Patients of Froedtert Health who wish to access their personal health information and use the features of the MyChart system are required to sign up and create an account.
To fill out Froedtert MyChart, patients need to log in to their account, navigate to the appropriate section (such as health information, task lists, or appointment scheduling), and follow the prompts to enter or update their information.
The purpose of Froedtert MyChart is to enhance patient engagement by providing easy access to health records, facilitating communication between patients and healthcare providers, and enabling self-management of health-related tasks.
Patients must report various information on Froedtert MyChart, including personal health history, medication lists, allergies, current symptoms, and any updates to their personal information that may affect their care.
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