If you would like to set up proxy access on MyChart to manage the health of others online, for whom you have the legal right to do so, simply log in to your MyChart account to either Request Access or Grant Access, then submit the form electronically. Please note, you must use a laptop or desktop computer to set up proxy access, not the MyChart app.
You can also request acccess by downloading and completing the form that is right for your situation.
I want to manage the health of:
Please return the completed form to Health Information Management via one of the methods below:
FAX: (925) 947-3235
John Muir Health
Health Information Management
Attention: MyChart Proxy
5003 Commercial Circle
Concord, CA 94520
For questions completing these forms, please call (925) 947-5375.
We take patient privacy laws very seriously, and the State of California limits what types of health information we can share with parents about their teen. For that reason, we provide a limited view to parents of teens between the ages of 12 and 17. Parents of children between the ages of 12-17 will have the ability to:
For details about what information you can access for your child who is 12 years or older, please contact our Health Information Management team at (925) 947-5375.