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MyHealthONE proxy forms

You can set up proxy access to create a MyHealthONE account for your loved one, or to allow someone else to access your information.

MyHealthONE Proxy Access

To create an account for someone other than yourself, or to allow someone else to view the information in your MyHealthONE account, you will need to set up proxy access.

To be granted proxy access:

  • Must be at least 18 years old
  • Have an active email address
  • Present photo identification (for adult patients only)
  • Should be a trusted individual

To create an account for someone other than yourself, or to grant Proxy access to your MyHealthONE account, contact the MyHealthONE portal support team at (855) 422-6625.

For Patients aged 0-12

  • A parent or legal guardian must call the MyHealthONE portal support team at (855) 422-6625
  • Access expires on the patient’s 13th birthday

For Patients aged 13-17

Proxy Express Waiver - English

Renuncia Express Proxy - Español

  • Outside Texas, a parent or legal guardian with minor present must contact the MyHealthONE portal support team at (855) 422-6625
  • For patients in Texas, a parent or legal guardian does not need the minor present and may directly request access through contacting the MyHealthONE portal support team at the number above.
  • Access expires on the patient’s 18th birthday

For Adult Patients

Proxy Express Waiver - English

Renuncia Express Proxy - Español

  • If the patient is unable to sign the proxy express waiver, the patient’s Power of Attorney may contact the MyHealthONE portal support team at (855) 422-6625. The Power of Attorney will be asked to send the Proxy Express Waiver, Medical POA and a copy of a state-issued photo identification electronically.
  • If the patient is unable to sign the proxy express waiver and no Power of Attorney exists for the patient, then the caregiver or proxy enrollment cannot occur.