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This form is for parents and legal guardians of minor patients to request proxy access to the MyHSS account of their minor child at Hospital for Special Surgery.
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How to fill out myhss proxy access request
How to fill out myhss proxy access request
01
Visit the myHSS website.
02
Locate the proxy access request form on the site.
03
Fill out personal information, including your name, contact details, and relationship to the patient.
04
Provide the patient's information, including their name and date of birth.
05
Specify the type of access you are requesting (e.g., medical records, appointment scheduling).
06
Review the form for accuracy.
07
Submit the form electronically or print it out and send it to the appropriate department.
Who needs myhss proxy access request?
01
Family members or guardians of a patient.
02
Caregivers managing the health of another individual.
03
Individuals who need access to a patient's medical records for legal or administrative purposes.
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What is myhss proxy access request?
The myhss proxy access request allows individuals to request access to another person's health information through the My Health Summary System (MyHSS).
Who is required to file myhss proxy access request?
Individuals who wish to access the health information of another person, such as a parent accessing a child's medical records or a caregiver accessing records of a dependent, are required to file a myhss proxy access request.
How to fill out myhss proxy access request?
To fill out the myhss proxy access request, you need to provide necessary details such as your personal information, the person for whom access is requested, and any relevant supporting documentation as required.
What is the purpose of myhss proxy access request?
The purpose of the myhss proxy access request is to ensure patients have control over their health information and can designate trusted individuals to manage or view their health records.
What information must be reported on myhss proxy access request?
The information that must be reported includes the requester’s full name, relationship to the individual, the individual’s information, and any other required identification or documentation to verify the relationship.
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