Proxy Access Disclaimer

You have requested to view another individual’s protected health information via proxy access. By continuing and clicking the Accept Proxy Access Disclaimer button below, you accept and agree to the following:

• You have been properly authorized as the proxy for the individual’s records you are about to access and have honestly and completely filled out the access forms as required by NCH.
• You understand that the medical information you are about to view is protected by state and federal privacy laws and you understand that it is your responsibility to safeguard the information viewed electronically.
• You understand that NCH strongly suggests that personal health information not be accessed from a public or unsecured computer.
• You understand that it is your responsibility to safeguard your logon information and change your password if you believe that it has been compromised.
• You understand that your activities on the NCH MyChart application can be monitored.
• You understand that the information presented electronically on NCH MyChart may not consist of the entirety of a patient’s electronic health record.
• You understand that NCH MyChart should not be used to communicate emergent or life threating conditions and that in the event of an emergent or life threatening condition you should call 911.
• You understand that if proxy is granted by permission of the patient, that patient retains the right to withdraw your proxy access in writing at any time.
• You agree to abide by all terms and conditions of use pertaining to the access of your personal health information while accessing another’s protected health information as a proxy.

The complete terms and conditions for NCH MyChart can be accessed at the following link NCH MyChart Terms and Conditions