Request Access to Another Patient

Request Access to Your Child's mySanfordHealthPlan Record

Individual requesting access must have parental rights or legal guardianship rights. To sign up for access to your child's (born after April 7, 2003) mySanfordHealthPlan record, click here. Please note that your child's chart will be accessed through your mySanfordHealthPlan record. Completing this form will establish a mySanfordHealthPlan record for you and your child.

Request Full Access to Another Adult's or Child's mySanfordHealthPlan Record

To request access to the mySanfordHealthPlan record of an adult or child (born on/or before April 7, 2003) whose medical care you help manage, please complete the Adult/Teen Proxy Form and mail to the address listed on the form for processing. In order to process your request, the patient must sign the Adult/Teen Proxy Form and provide authorization for release of medical information in mySanfordHealthPlan on the page titled "Adult/Teen Proxy Authorization for Release of Medical Information". Please note that the patient's chart will be accessed through your (the proxy's) mySanfordHealthPlan record. Completing this form will establish a mySanfordHealthPlan record for you and for the patient.