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Get Ga Wellstar Mychart 1664 2020-2024

Ild's MyChart Record: To sign up for access to your child's MyChart record, please complete both pages of this Child Proxy Form and return to the address shown below. Please note that your child's chart will be accessed through your MyChart record. Completing this form will establish a MyChart record for you and your child. Parent / Guardian Information (all sections are required unless otherwise noted - please print clearly): Parent Name (Last, First, Middle Initial): Social Security Number (op.

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