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Mychart caregiver access application (pediatric) (parent/guardian access to the electronic medical record of a minor with a developmental disorder who lacks decision making ability)
Mychart access application (patient access to the electronic medical record)
St access to the patient's electronic medical record A copy of letters of pointment for guardianship, or durable power of attorney for health care documents are already on file or enclosed I understand without one of these legal documents, my access will be denied The mychart parental/guardian access application must be completed, signed and submitted for approval
Two parents or legal guardians may apply for access on one application, a separate application is required for each patient A signature from each parent/guardian listed on the application is required unless both parents/guardians live at the same address.
