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Proxy Request Form This form must be completed in full, including Library ID numbers and signatures. Paper forms may be brought to the Circulation Desk on the second floor of the Main Library or scanned

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How to fill out mychart child proxy request

01

Go to the MyChart website or app.

02

Log in to your own MyChart account.

03

Navigate to the 'Request Proxy Access' section.

04

Select 'Child' as the relationship type.

05

Fill out the required information for the child, including their name and date of birth.

06

Submit the request and wait for approval from the child's healthcare provider.

Who needs mychart child proxy request?

01

Parents or legal guardians who want access to their child's medical records and information.

02

Caregivers who are responsible for a child's healthcare needs and treatments.

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What is mychart child proxy request?

Mychart child proxy request is a form that allows a parent or guardian to gain access to the medical records of their child or children through an online patient portal.

Who is required to file mychart child proxy request?

A parent or legal guardian is required to file mychart child proxy request in order to access their child's medical records.

How to fill out mychart child proxy request?

To fill out mychart child proxy request, the parent or guardian must provide their personal information, as well as the child's information, and submit the form to the healthcare provider.

What is the purpose of mychart child proxy request?

The purpose of mychart child proxy request is to allow parents or guardians to manage the healthcare information of their children and communicate with healthcare providers on their behalf.

What information must be reported on mychart child proxy request?

The mychart child proxy request form typically requires information such as the parent's or guardian's name, contact information, relationship to the child, and the child's name and date of birth.

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