Do you want to authorize someone to have access to your Patient Portal?
Send an email to MedicalRecordRequest@christianacare.org to request an electronic form be sent to your Patient Portal for completion. The form will appear as a Clipboard in your Portal to complete. For instructions on completing the Clipboard, see How to Complete a Patient Clipboard. For the patients over age of 18 and between 12-18, the expected time it will take to complete the request is 3 business days.
Print and complete the Adult Proxy Authorization form. Then, scan and email the completed form to MedicalRecordRequest@christianacare.org. For the patients over age of 18 and between 12-18, the expected time it will take to complete the request is 3 business days.
Complete and submit the Adolescent Proxy Request form where limited Patient Portal access is available for scheduling appointments for your child and for messaging your child’s provider. No further access is available at this time due to privacy laws. Send the completed form by email to MedicalRecordRequest@christianacare.org or fax to 302-320-4859. For the patients over age of 18 and between 12-18, the expected time it will take to complete the request is 3 business days.
Parents or legal guardians should e-mail MyHealth@christianacare.org and include the following information: