Get the free MyChart- Adult Proxy Access Form - Southeast Health

TO BE COMPLETED BY PROXY (INDIVIDUAL REQUESTING ACCESS):Name:Social Security #:Address:Phone:Email:Date of Birth:I have read and understand the requirements and procedures regarding proxy access above.

How to fill out mychart- adult proxy access

How to fill out mychart- adult proxy access

1. To fill out MyChart- adult proxy access, follow these steps:
2. Visit the MyChart website or download the MyChart mobile app.
3. Click on the 'Sign Up Now' button.
4. Choose the option for adult proxy access.
5. Fill out the required information, including your name, contact details, and relationship to the adult you are requesting access for.
6. Agree to the terms and conditions.
7. Submit the form.
8. Wait for confirmation from MyChart team.
9. Once approved, you will receive an email with instructions on how to set up your MyChart- adult proxy access account.
10. Follow the provided instructions to create your account.
11. You can now log in to MyChart using your proxy access credentials.

Who needs mychart- adult proxy access?

1. MyChart- adult proxy access is for individuals who need access to another adult's MyChart account for medical or healthcare purposes.
2. Examples of people who may need adult proxy access include:
3. - Spouses or partners who manage medical information for their significant other.
4. - Caregivers or family members responsible for the healthcare of an adult who is unable to manage their own MyChart account.
5. - Legal guardians or parents who need access to their adult child's medical information.
6. - Healthcare professionals who require access to a patient's MyChart account for treatment or coordination of care purposes.

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What is mychart- adult proxy access?

Mychart- adult proxy access allows an adult to designate a proxy to access their MyChart account and manage their health information.

Who is required to file mychart- adult proxy access?

Any adult who wants to designate a proxy to manage their health information through their MyChart account is required to file mychart- adult proxy access.

How to fill out mychart- adult proxy access?

To fill out mychart- adult proxy access, the adult must complete the necessary form provided by the healthcare provider and authorize the designated proxy to access their MyChart account.

What is the purpose of mychart- adult proxy access?

The purpose of mychart- adult proxy access is to allow an adult to designate a trusted individual to access and manage their health information on their behalf.

What information must be reported on mychart- adult proxy access?

The information required on mychart- adult proxy access includes the name of the adult designating the proxy, the name of the designated proxy, and their relationship to the adult.