Get Tmg4me

Filling out the Tmg4me access request form online is essential for individuals seeking to access their medical records or authorize another person to do so. This guide provides you with step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your Tmg4me access request form.

1. Press the ‘Get Form’ button to obtain the Tmg4me form and open it in your designated online editor.
2. Select the type of access you are requesting by choosing one option: Patient access only, Proxy access only, or Patient and Proxy access.
3. Fill in your personal information under the Patient Information section. Include your full name, address, date of birth, home phone number, gender, primary care provider's name, and email address. Ensure the accuracy of your email, as notifications will be sent to it.
4. If you are requesting proxy access, complete the Proxy Requester Information section. Provide the full name, relationship to the patient, expiration date (if applicable), and answer the questions regarding emancipation and power of attorney.
5. Acknowledge your understanding of the terms by initialing each statement in the 'I understand that' section. Each initial indicates your consent and comprehension of the access and usage of the Tmg4me system.
6. Sign and date the form at the bottom. Both the patient and the proxy (if applicable) need to print their names and provide signatures.
7. Review your completed form for accuracy. Once you are satisfied with all the details, save your changes, and you may choose to download, print, or share the completed form as necessary.

Start your document completion process online to gain access to your medical information through Tmg4me.