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Proxy Access Information

Proxy Access- MyChart account users (patients) age 12 or older who have medical decision-making capacity may request proxy access to his or her MyChart account be provided to another adult individual by completing the Proxy Access Consent Form and Authorization For the Release of Medical Information and submitting it to Upstate Medical University or its affiliated private practices. Only one person will be granted proxy access to a MyChart account of a patient with medical decisions-making capacity. A MyChart account will be activated for both the proxy and the account holder.

Minor Eligibility - An individual must be age 12 or older to request a MyChart account. Parents or guardians of minors (under the age of 12) may request access to the minor child's account by following the terms outlined in the "Proxy Access" section of this Terms and Conditions statement. Parents or Guardians of minor children between the ages of 12 and 17 (inclusive) will not be eligible to participate in the full spectrum of MyChart services. Thus, when a minor patient reaches age 12, restrictions will be placed on access to information in MyChart.

Legally authorized decision-makers of adult patients who lack medical decision-making capacity may request proxy access to a patientís MyChart account by completing the Proxy Access Consent Form and Authorization For the Release of Medical Information and submitting it to Upstate Medical University or its affiliated private practices.

Upstate Medical University and its affiliated private practices reserve the right to revoke proxy access at any time for any reason.