MyChart Proxy Access

Online Access to Medical Records For a Minor Child

It’s important to know that if your child is age 0 – 11: You will be granted full access to your child’s MyChart record.

Once your child reaches age 12, you will no longer have access to your child’s MyChart record.

To request access for online access to medical records for a minor child you must submit the MyChart Proxy Access Form in person to a clinic at a Golden Valley Health Centers clinic.

Photo ID will be verified upon submission.

CONSENT MYCHART SHARE ACCESS REQUEST FORM

Online Access to Medical Records For An Adult

It’s important to know that patient information is confidential and is protected by law. You have access to information, and if you choose, you may authorize a Proxy to have access also such as a family member or friend. If you authorize Proxy access, the Proxy will see all your health information available in MyChart, including details of your care, diagnoses, medications, lab results, caregivers’ notes and observations, your emails with your caregivers and other personal information about you and your care available in MyChart.

Photo ID will be verified upon submission.

CONSENT MYCHART SHARE ACCESS REQUEST FORM