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Chart Proxy Application for Adolescent Patients Limited Access Age 1217 Completing this form allows someone else (a proxy) to obtain limited access to portions of a patients' health record via Chart,

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How to fill out mychart proxy application for

01

Visit the MyChart website or app and log in with your account

02

Go to the 'Account Settings' or 'Profile' section

03

Find the option for proxy access or share my record

04

Enter the necessary information for the person you are giving access to

05

Review and submit the application

Who needs mychart proxy application for?

01

Individuals who want to grant a family member or caregiver access to their medical records and information

02

Patients who may have difficulty accessing or understanding their own medical information and need assistance

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What is mychart proxy application for?

Mychart proxy application is for allowing a designated individual to access and manage the patient's medical records and communicate with healthcare providers on their behalf.

Who is required to file mychart proxy application for?

The patient or their legal guardian is required to file the mychart proxy application.

How to fill out mychart proxy application for?

To fill out mychart proxy application, the patient or legal guardian needs to provide their personal information, designate the proxy, and specify the level of access they will have.

What is the purpose of mychart proxy application for?

The purpose of mychart proxy application is to facilitate communication and access to medical records for patients who may need assistance due to health issues or other reasons.

What information must be reported on mychart proxy application for?

The mychart proxy application must include personal information of the patient, details of the designated proxy, and the level of access granted.

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