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Access honorhealth com 2026
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- Click ‘Get Form’ to open the Request for MyChart adult proxy access form in our editor.
- Begin by filling out the 'Proxy Information' section. Clearly print your name, date of birth, city, street address, state, phone number, zip code, and email address.
- Next, complete the 'Patient’s Information' section. Provide the patient's name, date of birth, gender (select either Female or Male), street address, city, phone number, email address, state, and zip code.
- Review the 'MyChart Terms and Agreement Summary.' Ensure you understand each point regarding usage and responsibilities before proceeding.
- Sign the form in the designated areas for both the patient and proxy. Include your relationship to the patient and today's date.
- Once completed, save your document. You can then print it or send it via fax to HonorHealth at 480-882-5841 or mail it to their specified address.
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