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PATIENT PORTAL & PROXY ACCESS P.O. Box 9161 Monroe, LA 71211___ NEW ENROLLED___ PROXY ACCESSPATIENT INFORMATION Patient Name: ___ Date of Birth: ___/___/___ LASTFIRSTM. I. Address: ___ Street AddressCityStateZip

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How to fill out portal access and proxy

01

Visit the portal login page

02

Enter your username and password

03

If you have a proxy, enter the proxy details when prompted

04

Click on the login button to access the portal

Who needs portal access and proxy?

01

Employees who need to access the company's online portal remotely

02

Users who require an additional layer of security through proxy servers

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What is portal access and proxy?

Portal access and proxy is a system that allows certain individuals or entities to access a specific portal on behalf of another party.

Who is required to file portal access and proxy?

Individuals or entities who need to access a portal on behalf of another party are required to file portal access and proxy.

How to fill out portal access and proxy?

Portal access and proxy forms can typically be filled out online or submitted through a designated system provided by the portal administrator.

What is the purpose of portal access and proxy?

The purpose of portal access and proxy is to authorize designated individuals or entities to access specific information or resources on behalf of another party.

What information must be reported on portal access and proxy?

The information reported on portal access and proxy forms typically includes the name of the authorized individual or entity, their relationship to the party they are accessing the portal for, and any relevant contact information.

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