The UCSF-John Muir Health Jean and Ken Hofmann Cancer Center at the Behring Pavilion is now open. LEARN MORE >
If you would like to set up proxy access on MyChart to manage the health of others online, for whom you have the legal right to do so, simply log in to your MyChart account to either Request Access or Grant Access, then submit the form electronically. Please note, you must use a laptop or desktop computer to set up proxy access, not the MyChart app.
You can also request access by downloading and completing the form that is right for your situation.
I want to manage the health of:
My Child, Under the Age of 18
My Child, Under the Age of 18 - Español
My Stepchild, Under the Age of 18
My Stepchild, Under the Age of 18 - Español
Another Adult, Age 18+
Another Adult, Age 18+ - Español
Please return the completed form to Health Information Management via one of the methods below:
Email: HIM@johnmuirhealth.com
FAX: (925) 947-3235
Mail:
John Muir Health
Health Information Management
Attention: MyChart Proxy
5003 Commercial Circle
Concord, CA 94520
For questions completing these forms, please call (925) 947-5373.
Access to a minor’s account will include all MyChart features until the child reaches the age of 12, at which time family access will be limited in adherence with California State's adolescent/teen privacy laws.
We take patient privacy laws very seriously, and the State of California limits what types of health information we can share with parents about their teen. For that reason, we provide a limited view to parents of teens between the ages of 12 and 17. Parents of children between the ages of 12-17 will have the ability to:
For details about what information you can access for your child who is 12 years or older, please contact our Health Information Management team at (925) 947-5373.