MyChart Activation Request: Grant Adult Proxy Access
Thank you for your interest in MyChart, a secure online portal. If you are a patient Cincinnati Children's, and you are 18 years old or older, you may complete the form below to grant MyChart access to another adult. This type of MyChart access is called a proxy.
IMPORTANT REQUIREMENTS:
A valid form of photo identification is required before your request will be reviewed and approved. Look for the link in the form below.
Adult-to-adult proxy access expires every 18 months. Therefore, if you want the proxy to have access to your medical record information through MyChart after 18 months, you will need to complete a new form.
If you have a personal MyChart account, you can use the MyChart Proxy Invite feature to renew access to a previously existing proxy.