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Patient portal consent form - Elmwood Pediatric Group 2025

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The document is a Patient Portal Consent Form from Elmwood Pediatric Group, outlining the terms and conditions for accessing a child's medical records through an online portal. It specifies that parents or legal guardians can access records for children aged 0-15, while patients aged 16 and older can create their own accounts or maintain access through their parent's account. The form emphasizes that the portal is for non-urgent issues only and includes an acknowledgment section for patients and guardians to confirm their understanding of the terms.

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Versions	Form popularity	Fillable & printable
2019	4.4 Satisfied (26 Votes)

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