What is your child's age?
- Choose one...
- Younger than 14 years old
- 14 –17 years old
- 18 years or older
Younger than 14 years old
- Be the birth parent or legal guardian of a child under 18 years old
- Have your own MyChart account
- Complete and return the authorization form.
- Already have a MyChart account? Simply sign in to your account and click the Request Family Record Access link under the Profile tab. After you fill out your form, we will notify you when your access has been set up. This usually takes 5 to 7 business days.
- You can also print and mail your form back to us or fax it to the number listed on the form.
14 –17 years old
As a parent of a minor (under age 18), you can view your child's medical record and communicate on their behalf. To request access, you must:
- Be the birth parent or legal guardian of a child under age 18
- Have your own MyChart account
- Complete and return the authorization form
Requesting access is easy. Simply sign in to your account and click the Request Family Record Access link under the Profile tab. After you fill out your form, we will notify you when your access has been set up. This usually takes 5 to 7 business days.
If you don’t have an account, click here to access the 14-17 Proxy Form.
Once you’ve completed your form, sign and mail it to the address provided. We will notify you when your access has been set up. This usually takes 5 to 7 business days.
18 years old or older
Caregiver access allows you to view an adult patient's medical record and communicate on their behalf. To request access, you must:
- Obtain the patient's written approval to access their medical record or provide Power of Attorney documentation
- Have your own MyChart account
- Complete one of the following authorization forms:
Once you’ve completed your form, please sign and mail to the address provided. We will notify you when your access has been set up. This usually takes 5 to 7 business days.
Already requested access and still haven't heard back?
Please complete this form.