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256 Informed Consent for Adolescent Patients Form.docx)

WebTitle (Microsoft Word - MyChart\256 Informed Consent for Adolescent Patients Form.docx) Author: x5fa Created Date: 10/27/2020 11:54:42 AM

Actived: 1 days ago

URL: https://mychart.ssfhs.org/MyChart/FA_InfConAdol.pdf

Guardian – Adolescent Full Access

Webcertain health care decisions on their own behalf, and as such, I will be granted Proxy Access to my Adolescent’s MyChart ® record only if my Adolescent consents to such …

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