MyChart Proxy Access
Connect your Family Members. MyChart Proxy Access is a simple way to link another member of your family to your account. You can be granted access to:
*Access rules do apply. If you are interested in this access, you will be asked to fill out a proxy consent form. Once the form is signed your care team will change your record to reflect your request.
Please print and return the appropriate forms to be granted access.
These forms may be returned to Health Information Management via fax or email. Please be sure to fill in all requested fields – missing information may result in a delay of access to the requested account.
Forms may be returned to the following locations:
By Email: medicalrec[email protected]
Understanding your Child or Teen’s Record
A parent may obtain full proxy access for their child if the child is under 12 years of age. Due to privacy laws proxy access for teens, considered patients age 12 through 17 years, may be limited based on the preference of the teen. Teens and adults granting access to others must sign the form.
Remember, you may cancel proxy access at any time, as can others who have granted you access. To cancel access, please visit your PMH Clinic to make your request in person.