Get the free MyChart Parent Proxy Authorization Form

Name: Fillable Online MyChart Parent Proxy Authorization Form Fax Email Print - pdfFiller
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Patients Last NameFirst Name___ MAN Visit Number ___Chart Proxy AttestationDate of Birth Age Gender M F (YYY/mm/dd) ___ Address ___ City Province Postal Code At Hamilton Health Sciences, only a patients

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How to fill out mychart parent proxy authorization

01

Log in to your MyChart account

02

Go to the 'Profile' section

03

Click on 'Request Proxy Access'

04

Select 'Parent Proxy' from the list of options

05

Fill out the required information for the parent, including their name, date of birth, and relationship to the child

06

Review and submit the request for proxy access

Who needs mychart parent proxy authorization?

01

Parents who want to have access to their child's medical records and manage their appointments through MyChart need parent proxy authorization.

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What is mychart parent proxy authorization?

MyChart Parent Proxy Authorization allows a parent or guardian to access and manage the health information of their child or dependent.

Who is required to file mychart parent proxy authorization?

Parents or legal guardians are required to file MyChart Parent Proxy Authorization.

How to fill out mychart parent proxy authorization?

To fill out MyChart Parent Proxy Authorization, parents or legal guardians need to complete the form provided by the healthcare provider and submit it as per the instructions.

What is the purpose of mychart parent proxy authorization?

The purpose of MyChart Parent Proxy Authorization is to allow parents or guardians to view and manage the health information of their child or dependent.

What information must be reported on mychart parent proxy authorization?

MyChart Parent Proxy Authorization may require information such as the child's name, date of birth, and the relationship of the parent or guardian to the child.

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