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Get CA Request to Access MyChart

Om UC Davis providers. You may submit the completed Request to Access MyChart forms, along with any required documentation or Request for Revocation, by any of the following methods: Fax: (916)734-2126 or (916)734-2669 Email: mychartactivation@ucdmc.ucdavis.edu US mail: UC Davis Health System, Health Information Management, Medical/Legal Release of Information Unit 2315 Stockton Blvd. MRB-12, Sacramento, CA 95817 EXPIRATION OF AUTHORIZATION Unless otherwise revoked, this authorization for MyChar.

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Complete CA Request to Access MyChart within several clicks following the instructions listed below:

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  3. Submit the requested boxes (they will be yellow-colored).
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