Proxy access allows parents, legal guardians and caregivers to log into their personal MyChart account and connect to the health information of a patient they represent. Users can communicate with the doctor’s office and enjoy other MyChart benefits, like managing appointments online and reviewing test results. All that’s needed is a completed proxy authorization form accompanied by a government-issued photo identification, such as a driver’s license, passport or non-driver ID.
Three easy options to obtain proxy access
Complete Form
Download and complete the authorization form for the patient’s age using the links below.
Ask About Access
Ask about proxy access at the patient’s next scheduled visit to the doctor’s office.
Request Form
Request a proxy authorization form at the medical records department of any Atlantic Health System hospital.
Proxy access levels are based on patient age
Proxy Authorization Forms
- Age 0-11: Download authorization form >
- Age 12-17: Download authorization form >
With the agreement of the patient’s trusted care provider and patient authorization, full access is available. Discuss this option at the patient’s next scheduled visit to the doctor’s office.
- Age 18 and older: Download authorization form >
MyChart Proxy FAQ
We provide answers to frequently asked questions about the benefits of MyChart and proxy access.
MyChart Assistance
Call 1-800-205-9911 for assistance 7 days a week from 7:00am - 7:00pm.