Lcohmychart.uchealth.com

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AUTHORIZATION FOR PROXY ACCESS TO LCOH MYCHART

WEBYou will need to be authorized for proxy access for each child/individual LCOH MyChart record you will help manage. Proxy access will only be granted to parties who can …

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URL: https://lcohmychart.uchealth.com/mychart/en-us/LCOHProxyAccessForm.pdf

ofHOPE I l(fHealth. MR#

WEBPurpose Note: Please complete all 7 sections of this form. MR# AUTHORIZATION FOR THE RELEASE OF PATIENT PROTECTED HEALTH INFORMATION. 1. DOB Last …

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