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Do not write in this box 11300 Corporate Ave, Lenexa, KS 66219 Health Information Management Dept.×DT5207* DT5207MyChart Revocation Sequestrate: DOB: MR×Chart Proxy Access Revocation Request Giving

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How to fill out mychart proxy revocation request

01

To fill out a MyChart proxy revocation request, follow these steps:

02

Log in to your MyChart account using your username and password.

03

Navigate to the 'Profile' or 'Account Settings' section.

04

Look for the option to manage your proxy access settings.

05

Select the option to revoke proxy access.

06

Provide any required information or reasons for the revocation.

07

Double-check the details and submit the request.

08

You may receive a confirmation message or email regarding the revocation.

09

Keep in mind that once the revocation request is submitted, it may take some time for the changes to take effect.

Who needs mychart proxy revocation request?

01

Anyone who has granted proxy access to another individual through MyChart may need to submit a proxy revocation request. This request is applicable for individuals who no longer want someone else to have access to their medical information and make healthcare decisions on their behalf.

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What is mychart proxy revocation request?

MyChart proxy revocation request allows a patient to revoke access of a designated proxy to their MyChart account.

Who is required to file mychart proxy revocation request?

The patient is required to file the MyChart proxy revocation request.

How to fill out mychart proxy revocation request?

To fill out the MyChart proxy revocation request, the patient needs to log in to their MyChart account, go to settings, select proxy access, and then revoke the designated proxy.

What is the purpose of mychart proxy revocation request?

The purpose of the MyChart proxy revocation request is to ensure that patients have control over who has access to their medical information.

What information must be reported on mychart proxy revocation request?

The specific proxy being revoked and the reason for revocation must be reported on the MyChart proxy revocation request.

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