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Get Bswh Mychart Minor Child Proxy Form
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How to fill out the BSWH MyChart Minor Child Proxy Form online
The BSWH MyChart Minor Child Proxy Form allows parents or guardians to access their minor child's MyChart medical record. This guide provides clear instructions on how to fill out the form online, ensuring you understand each section and what information is required.
Follow the steps to complete the BSWH MyChart Minor Child Proxy Form online
- Click ‘Get Form’ button to obtain the form and open it for completion. This will enable you to access the necessary document for submitting your request.
- Complete the Parent/Guardian Information section, ensuring that all fields are filled out correctly. This includes your name (last, first, middle initial), date of birth, street address, city, state, zip code, the last four digits of your social security number, phone number, and email address.
- Fill in the Child’s Information section with your child’s details, including their name (last, first, middle initial), date of birth, street address, city, state, and zip code.
- Review the MyChart Terms and Agreement carefully. This section outlines important information regarding the use and security of your child’s MyChart account. Ensure you understand each point listed.
- Sign and date the form in the designated spaces to confirm your understanding of the terms and your request for proxy access. Include your printed name and relationship to the child.
- Once the form is completed, save any changes made, then download, print, or share the completed form as instructed.
Take the next step in managing your child's healthcare by completing the BSWH MyChart Minor Child Proxy Form online today.
To add your child to your MyChart account, simply fill out the BSWH MyChart Minor Child Proxy Form. This form will provide necessary details for the registration process. After submitting the form, you should receive a confirmation that your child's account is now linked to yours, allowing you full access to their medical information.
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