Get the free MYCHART ADULT PROXY ACCESS REQUEST FORM - Denver Health Medical Center

Name: Fillable Online MYCHART ADULT PROXY ACCESS REQUEST FORM - Denver Health Medical Center Fax Email Print - pdfFiller
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Chart Adult Proxy Request Form Page 1 of 2Patient Identifications form should be completed by a patient of BALLAD HEALTH, its affiliated clinics and entities (the Organizations) who is 18 or over

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How to fill out mychart adult proxy access

01

Log in to your MyChart account.

02

Go to the 'Profile' section.

03

Select 'Request proxy access' under the 'Personalize' tab.

04

Fill out the required fields with the proxy's information.

05

Agree to the terms and conditions for proxy access.

06

Submit the request for approval.

Who needs mychart adult proxy access?

01

Individuals who have a family member or caregiver who helps manage their healthcare needs.

02

Patients who may have difficulty accessing or using their MyChart account independently.

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What is mychart adult proxy access?

Mychart adult proxy access allows an authorized individual to access a MyChart account on behalf of an adult patient.

Who is required to file mychart adult proxy access?

Family members or legal guardians who need access to an adult patient's health information are required to file for MyChart adult proxy access.

How to fill out mychart adult proxy access?

To fill out MyChart adult proxy access, the authorized individual must complete the necessary forms and provide proof of authorization (such as legal documentation).

What is the purpose of mychart adult proxy access?

The purpose of MyChart adult proxy access is to allow authorized individuals to view and manage the health information of an adult patient.

What information must be reported on mychart adult proxy access?

The individual requesting proxy access must provide information about their relationship to the patient and the reason for needing access.

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