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HUNMANBYSURGERY ConsenttoproxyaccesstoGPonlineservices Note:Ifthepatientdoesnothavecapacitytoconsenttograntproxyaccessandproxyaccessis consideredbythepracticetobeinthepatientsbestinterestsection1ofthisformmaybeomitted. Proxy

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What is consent to proxy access?

Consent to proxy access is a document that authorizes another individual to access and make decisions on behalf of the filer in certain situations.

Who is required to file consent to proxy access?

Any individual who wishes to grant proxy access to another person is required to file consent to proxy access.

How to fill out consent to proxy access?

Consent to proxy access can be filled out by providing the necessary personal information of both the filer and the authorized proxy.

What is the purpose of consent to proxy access?

The purpose of consent to proxy access is to legally grant authority to another individual to act on behalf of the filer in specific situations.

What information must be reported on consent to proxy access?

Consent to proxy access must include the full names, contact information, and signatures of both the filer and the authorized proxy.

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