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Get Az Honorhealth Adult Proxy Access Form For Mychart 2018-2024

Ce the patient agrees to allow you to serve as his/her proxy by completing the form below, you can link the patient s MyChart account to your MyChart account. To request access to the MyChart account of the adult whose medical care you plan to help manage, please complete this form and mail or fax it to the address / number below. This will establish a MyChart account for you and for the patient, and you ll be able to access the patient s MyChart account through your own account. Mail the.

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