Proxy Invite Terms and Conditions

I understand this authorization is voluntary and made at my request. My proxy is not legally required to keep my health information confidential and I understand it may be re-disclosed and may no longer be protected. By agreeing to these terms and conditions, I am granting the authorized individual the ability to view my electronic health record.

If I choose to grant full proxy access, I understand that my proxy will have full access to my clinical information, which may include sensitive health information, about sexually transmitted infections, alcohol and substance use, HIV/AIDS , behavioral (mental) health, and reproductive health treatment, and genetic information. Full access will also enable my proxy to read, send messages and schedule appointments on my behalf.

Any communications through MyChart made by the authorized individual/proxy will become part of my medical record.

I can revoke my authorization by going to Share My Record > Friends and Family access > Revoke button. This will remove the authorized individual’s ability to access my MyChart account immediately. I understand any revocation will not apply to information that has already been released in response to this authorization. This authorization expires 5 years from this date and in order to renew access, a new authorization will be required.