MyChart Activation Code Request: New Proxy Account

Thank you for your interest in MyChart, a secure online portal. Parents and primary caregivers can be granted proxy access to their child’s medical record information through MyChart at Cincinnati Children’s. To request proxy access, please complete the form below. We will contact you by phone or email if we have any questions regarding the information provided.
IMPORTANT REQUIREMENTS:
The patient must be an established patient at Cincinnati Children's in order to request a MyChart account online.
A valid form of photo identification is required before your request will be reviewed and approved.
Look for the link in the form below.
For patients age 13-17 who are not of diminished capacity, MyChart access must be requested and created in person.
Please ask one of our front-desk staff, or a member of the Cincinnati Children’s Family Resource Center, during your next visit.
Once your request has been approved, we will send you an activation code through secure email within 7 business days.