Free Printable Proxy Form Printable Templates
Uva Mychart Proxy Form. Web you can download copies of your medical records directly through mychart, using your computer or phone. Web to request proxy access, please complete this form and either submit it at your clinic visit or to health information services.
Web you can download copies of your medical records directly through mychart, using your computer or phone. Web to request proxy access, please complete this form and either submit it at your clinic visit or to health information services.
Web you can download copies of your medical records directly through mychart, using your computer or phone. Web you can download copies of your medical records directly through mychart, using your computer or phone. Web to request proxy access, please complete this form and either submit it at your clinic visit or to health information services.
