Requesting Access to Another Patient's Account

To request access to a patient's UVM Health Network MyChart account, you will need to submit an authorization form based on the age of the patient.

Questions about proxy access? Check out our frequently asked questions.

Patients Under 12

To access a child's medical record you must have parental or legal guardianship rights, or be authorized by a parent or legal guardian to have a proxy account.

  • You'll need to download and complete the MyChart Proxy Authorization Form for a child under 12 years old and return it to the location where the patient receives care. Forms may also be mailed to the Health Information Management office at the hospital where the patient receives care. See mailing addresses below.
  • If you do not have your own UVM Health Network MyChart account, you'll need to create one in order to see the patient's information online.

DOWNLOAD FORM

Patients 12 to 17

Parents or legal guardians who manage the medical care of an adolescent (between 12 to 17 year's old) can request access to the patient's online medical record. The patient must give their consent, and can choose to grant limited or full proxy access.

  • You'll need to download and complete the MyChart Proxy Authorization Form for a child between 12 and 17 years old and return it to the location where the patient receives care. The patient must also sign this form. Forms may also be mailed to the Health Information Management office at the hospital where the patient receives care. See mailing addresses below.
  • If you do not have your own UVM Health Network MyChart account, you'll need to create one in order to see the patient's information online.

DOWNLOAD FORM

Patients 18 or Older

Adults who manage the medical care of another person who is 18 or older can request access to the patient's online medical record. The patient or their legal representative must give their consent.

  • You'll need to download and complete the MyChart Proxy Authorization Form for an adult 18 or older and return it to the location where the patient receives care. The patient or their legal representative must also sign this form. Forms may also be mailed to the Health Information Management office at the hospital where the patient receives care. See mailing addresses below.
  • If you do not have your own UVM Health Network MyChart account, you'll need to create one in order to see the patient's information online.

DOWNLOAD FORM

Submitting a Proxy Application Form

At the Point of Care

Completed forms may be taken to the location where the patient receives their care.

By Mail

Completed forms may be mailed to the Health Information Management office at the hospital where the patient receives their care.

Central Vermont Medical Center
Health Information Management
PO Box 547
Barre, VT 05641

Champlain Valley Physicians Hospital
Health Information Management
75 Beekman Street
Plattsburgh, NY  12901

Porter Medical Center
Health Information Management Services
115 Porter Drive
Middlebury, VT 05753  

UVM Medical Center
HIM -  Holly Court
111 Colchester Avenue
Burlington, VT 05401

Frequently Asked Questions

What is a Proxy?

A proxy is a person who has been granted access to another patient's MyChart account. 

How can I access the medical information of a person I care for?

If you are a spouse, caregiver, or parent who needs access to another patient's MyChart account, you must first have your own MyChart account and then request to become a proxy. Visit UVMHealth.org/MyChartSignUp to sign up. A proxy is a person who has been granted access to another patient's MyChart account. 

To request proxy access, you will need to submit a UVM Health Network MyChart Proxy Access Request & Authorization Form to the patient's provider office, or to the Health Information Management office at the hospital where the patient receives care. Which proxy request form you need depends on the age of the patient. Which proxy request form you need depends on the age of the patient.

  • Patients ages 11 and younger: If you are seeking proxy access for a child under age 12, you must be either a birth parent or legal guardian, or you must have permission from a parent or legal guardian.
  • Patients ages 12 to 17: If you are seeking proxy access for a patient who is 12 to 17 years old, the patient must sign the form and select the type of proxy access: Full or Limited. Parents and teens should discuss these options with the teen’s provider.
  • Patients ages 18 and older: If you are seeking proxy access for an adult patient who is 18 years old or older, the patient or their legal representative must give their consent and sign the form.

What information can be seen with proxy access? 

Proxies can view any medical information available in MyChart. This includes upcoming visit details, After Visit Summaries, visit notes, health summaries, current medications, health alerts and reminders, test results, and care team messages. If there is sensitive information in your record, such as mental health care, substance use disorder, or sexually transmitted disease, that information may be included. Patients should only provide proxy access if they authorize their proxy to view all of their information. Only patients ages 12 to 17 can choose a limited view for their proxies.

What information cannot be seen with proxy access?

Patients age 12 to 17 can choose to give their proxies limited access, thus restricting information visible by the proxy.

How long does proxy access last?

It depends on the age of the patient. 

  • Patients ages 11 and younger: Proxy access lasts until the patient turns 12, at which time it will convert to limited access. Patients may choose to grant full access. Proxies will be notified prior to this date. 
  • Patients ages 12-17: Proxy access lasts until the patient turns 18 or revokes or changes the type of access. 
  • Patients 18 and older: Proxy access lasts until the patient revokes access.

How can I remove someone from having proxy access to my account?

You can remove someone's access to your medical information in two ways. First, you can call your provider's office and ask them to remove a person's proxy access. Or, if you have your own UVM Health Network MyChart account, login and navigate to the Profile section in the top toolbar and click on Family Access Settings. On this page, you can click and remove people in the ‘People who can view my account' section.