MyChart Proxy Access
If you would like to obtain access to a family member’s MyChart account, please complete the appropriateproxy form below based on the patient’s age.
For children under 12, proxy access allows a parent or legal guardian to log into their personal MyChart account and view information regarding their child. Per Illinois state guidelines, upon a child’s 12th birthday, a parent or legal guardian will still have access to appointment history, immunizations, and messages but will have limited access to the child’s medical record information. Full access can be granted for children between the ages of 12 and 17 using the Teen Proxy form with the signature of the child, parent or legal guardian, and a witness.
Once a patient turns 18, a parent can get access to their account with the patient’s authorization and completion of the adult proxy form. This form can also be used to request proxy access to another adult’s MyChart account, such as a spouse, partner, or parent. Adult proxy access can be applied online through an active account for immediate access and a paperless experience.
Complete the Child Proxy Form online
(Alternative: Download & E‑Mail/Fax Child Proxy Form)
Download Child Proxy Form (Spanish)
Download Teen Proxy Form (Spanish)
Download Adult Proxy Form (Spanish)
Download Proxy Revocation Form