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Get the free Download Teen Proxy Form - MyChart - DuPage Medical Group

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Dupage Medical Group WE CARE FOR FOURTEEN PROXY Formulas complete the following information for access to a teens (1217) Chart account at Dupage Medical Group (DMG). Proxy access for minors under
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The download teen proxy form is a document that allows a teenager to appoint someone else to make decisions on their behalf.
Teenagers who are under the age of 18 and want someone else to act as their proxy must file the download teen proxy form.
To fill out the download teen proxy form, the teenager must provide their personal information, the information of the appointed proxy, and sign the form in the presence of a witness.
The purpose of the download teen proxy form is to ensure that a teenager's wishes and decisions are respected and carried out by a trusted individual.
The download teen proxy form must include the teenager's name, date of birth, contact information, the proxy's name and contact information, and the specific decisions that the proxy is authorized to make.
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