Promedica my chart 2025

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The document is a ProMedica MyChart Proxy Access Request form, which allows individuals to request access to view health information of a ProMedica patient. It outlines the process for obtaining proxy access, including eligibility criteria for adults and parents of minors, limitations on access based on age, and the necessary documentation required. The form must be completed and submitted to ProMedica for processing, and it includes terms regarding the use and confidentiality of the accessed health information.

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