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  • Dupage Medical Group Child Proxy Form

Get Dupage Medical Group Child Proxy Form

DuPage Medical Group WE CARE FOR YOU CHILD PROXY FORM Access to Your Child s MyChart Record To sign up for access to your child s MyChart record, please complete both pages of this Child Proxy Form.

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DuPage Medical Group became Duly Health and Care on September 15, 2021.

For any questions on MyChart, please contact the MyChart Help Desk at 1−855−269−2427.

In addition to being one of the most extensive surgical hospitals in Illinois, Central DuPage Hospital benefits from the Northwestern Medicine integration with Northwestern University Feinberg School of Medicine, which gives patients access to leading-edge clinical trials and fosters an environment of world-class ...

Today. DuPage Medical Group became Duly Health and Care on September 15, 2021.

This form should be completed by a parent or permanent legal guardian (“Proxy”) who wants to request access to another patient's (or your child's) My CS-Link Record. The Proxy will need to show a photo ID and/or relevant legal or court documents asserting their right to make such request.

The organization's doctors admit to several local hospitals, and the medical group has formal affiliations with Advocate Good Samaritan Hospital, Central DuPage Hospital, Edward Hospital, and Elmhurst Hospital (Edward and Elmhurst recently came together in a merger).

Health isn't just the absence of sickness; it's an ongoing pursuit of every person's extraordinary potential. At Duly, we're committed. DuPage Medical Group is now known as Duly Health and Care!

DuPage County Central DuPage Hospital. 25 North Winfield Road. Winfield, IL 60190-1295. ... Elmhurst Memorial Hospital. 200 Berteau. Elmhurst, IL 60126-2966. ... GlenOaks Hospital. 701 Winthrop Avenue. ... Good Samaritan Hospital. 3743 South Highland Avenue. ... Hinsdale Hospital. 120 North Oak Street. ... Linden Oaks Hospital. 852 Southwest Street.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232