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Staff Name Date Time Proxy deactivated per request of patient by: Clinical Support Front Desk Other-Role: Staff Name Date Time FORM # 110163 CAT: 15- Patient Data (REV. 05/2012) To reorder, log on.

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How to fill out and sign Mychart login online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Legal, business, tax as well as other electronic documents require a top level of compliance with the law and protection. Our documents are regularly updated in accordance with the latest amendments in legislation. Plus, with us, all the details you include in your Mychart Uva is well-protected against leakage or damage through cutting-edge file encryption.

The tips below can help you fill in Mychart Uva quickly and easily:

  1. Open the template in the feature-rich online editing tool by hitting Get form.
  2. Fill in the necessary boxes that are colored in yellow.
  3. Hit the arrow with the inscription Next to move from box to box.
  4. Go to the e-autograph tool to e-sign the form.
  5. Insert the date.
  6. Check the entire e-document to be sure that you haven?t skipped anything.
  7. Hit Done and download your new template.

Our platform enables you to take the entire procedure of submitting legal papers online. As a result, you save hours (if not days or even weeks) and get rid of additional costs. From now on, fill in Mychart Uva from home, office, and even on the move.

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