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Chart Teen Proxy AuthorizationTeen Minor Information (Age 13 17) Patient Name: ___[ ] Male[] Female DOB: ___ Age: ___ Address: ___ Relationship to minor/child: Parent Legal Guardian DCF Representative
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How to fill out mychartynhhsorgmychart-prden-usmychart teen proxy authorization

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To fill out mychartynhhsorgmychart-prden-usmychart teen proxy authorization, follow these steps:
02
Visit the MyChart website at mychartynhhsorgmychart-prden-usmychart
03
Log in to your MyChart account using your username and password
04
Click on the 'Teen Proxy Access' tab or option
05
Enter the necessary information of the teen who needs the proxy authorization, such as their name, date of birth, and contact information
06
Provide the required information about the parent or guardian who will be the proxy
07
Read and agree to the terms and conditions of teen proxy authorization
08
Submit the form and wait for confirmation from MyChart
09
Once the proxy authorization is approved, the teen and their parent or guardian will have access to their MyChart account

Who needs mychartynhhsorgmychart-prden-usmychart teen proxy authorization?

01
Teen proxy authorization on mychartynhhsorgmychart-prden-usmychart is needed for teenagers who are under 18 years old and want to grant their parent or guardian access to their health information on MyChart.
02
It may be useful for situations where the teen is unable to manage their own healthcare or wants to involve their parent or guardian in their medical decisions.
03
The teen proxy authorization allows the parent or guardian to view the teen's medical records, schedule appointments, communicate with healthcare providers, and perform other actions on behalf of the teen.
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MyChart Teen Proxy Authorization allows a parent or legal guardian to access their teenager's medical records through the online MyChart platform.
Parents or legal guardians of teenagers who wish to access their medical records through MyChart platform are required to file a teen proxy authorization.
To fill out the teen proxy authorization, parents or legal guardians need to visit the MyChart website, log in to their account, and navigate to the teen proxy authorization section.
The purpose of teen proxy authorization is to allow parents or legal guardians to access and manage their teenager's medical records online, in a secure and convenient manner.
The teen proxy authorization form typically requires information such as parent or legal guardian's name, teenager's name, date of birth, and relationship to the teenager.
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