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Power of Attorney Access to the Online Medical Record of a Patient

Online Submission Requirements and Procedures

Caregivers can access the online medical record of a patient if the patient authorizes. In the case of Power of Attorney (POA), the caregiver can gain access by providing appropriate POA documentation. There are three options for viewing the online medical record: MyChart, a website accessible through the Internet, or via mobile app downloadable from iTunes or Google Play, and MyChart Bedside, a tablet mobile app available during some hospital stays. Please complete the form and then click 'Continue' at the bottom of the form. You must then immediately print the form to be signed and mailed or faxed to the address listed. You will be notified via a MyChart message when we have processed your request.

Requirements for online access to a patient's record:

  • Individual requesting access must have appropriate Power of Attorney documents
  • Appropriate Power of Attorney documentation must be provided
  • POA Authorization Form must be completed in all required areas and submitted
  • Each POA requesting access must have their own account or an account will be established by appropriate staff. If using MyChart Bedside, each power of attorney requesting access must set up MyChart Bedside account with staff
  • Should POA be revoked or limited you are responsible to report this information immediately to your healthcare organization

I understand that:

  • I must have a MyChart account or an account will be established for me
  • To use MyChart, I must log in with my own Username & Password
  • To use MyChart Bedside, I must log in with my own pin number (set up with hospital staff)
  • I agree to abide by the terms and conditions on the suite of patient portal products (e.g. MyChart, MyChart Bedside)
  • Access to the patient's record via the suite of patient portal products will be revoked when my POA rights expire
  • The suite of patient portal products are not to be used in an emergency

Power of Attorney access to a patient's record is revoked when the patient or physician submits a request or revokes access online. Your healthcare organization reserves the right to revoke online access to medical information at any time.

Communications on behalf of the patient must be sent from the patient's record and responses will be received in the patient's record. Email alerts will be sent to the email address entered in the patient's record.

Each record that you have been granted access to will display in the dropdown located at the top-right of the home screen.

If you already have a patient portal account, you will receive a message when access to the patient's record becomes available, typically 5 to 7 business days after completed authorization form is received.

If you do not have a patient portal account, you will receive an Activation Letter with instructions on how to create one. Please promptly activate your account.

If you are requesting access to view the patient's information in MyChart Bedside, the authorization will be processed in 1-2 business days after the completed authorization form is received.

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