XS
SM
MD
LG

Request Access to Another Patient's Account

To request access to the MyHealth Online account of a UVM Medical Center patient, you will need to submit an authorization form.

How old is the patient whose account you would like to access?

Request Access to Medical Information

How it works:

  • To access a child’s medical record you must be either a birth parent or legal guardian, or you must have permission from a legal guardian.
  • You’ll need to download and complete the below MyHealth Online Proxy Authorization Form for a child under 12 years old and return it to the clinic where the patient receives care.
  • If you do not have your own MyHealth Online account, you’ll need to create one in order to see the patient’s information online.
  • Once you have a MyHealth Online account and are signed in, you can request access to billing information for a patient, if needed.

Download & Print Form

Request Access to Billing & Insurance Information

  1. Log in to your MyHealth Online account.
  2. Click the Billing & Insurance link in the menu at the top of the page.
  3. Select Request Access to Another Billing Account.
  4. Fill out the form to request parental access to billing and insurance information.

Request Access to Medical Information

How it works:

  • Adults who manage the medical care of another person who is 12 or older can request access to the patient’s online medical record. The patient must give their consent.
  • The patient must sign the MyHealth Online Proxy Authorization Form for Patients 12 and Older. Then, you’ll need to complete the form and return it to the clinic where the patient receives care.
  • If you do not have your own MyHealth Online account, you’ll need to create one in order to see the patient’s information online.
  • Once you have a MyHealth Online account and are signed in, you can request access to billing information for a patient, if needed.

Download & Print Form

Request Access to Billing & Insurance

  1. Log in to your MyHealth Online account.
  2. Click the Billing & Insurance link in the menu at the top of the page.
  3. Select Request Access to Another Billing Account.
  4. Fill out the form to request access to billing and insurance information.