Get Southcoast Health Mychart Caregiver Access Information Sheet 2018-2025

The Southcoast Health MyChart Caregiver Access Information Sheet allows designated caregivers to access the medical records of patients online. This guide provides detailed instructions on how to effectively fill out the form to ensure smooth caregiver access.

Follow the steps to complete the form online with ease.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Provide the patient’s full legal name in the designated field at the top of the form.
3. Enter the patient’s date of birth in the appropriate section following their name.
4. Fill in the patient’s mailing address, including the city, state, and zip code.
5. Select the patient’s gender from the provided options.
6. Input the patient’s telephone number in the required field.
7. Indicate that you are allowing the caregiver access by writing the caregiver’s full legal name in the next section.
8. Complete the caregiver’s date of birth and telephone number following their name.
9. Fill in the caregiver’s mailing address, including city, state, and zip code.
10. Optionally, provide the caregiver’s email address in the designated field.
11. As the patient, sign and date the form acknowledging your consent for caregiver access.
12. If applicable, the caregiver must also sign and date the form.
13. Review all entered information for accuracy before proceeding to save, download, print, or share the completed form.

Complete your documents online to ensure timely access to medical records.