Request Family Access

What is proxy access?

Proxy access allows a parent, legal guardian, family member or someone who helps care for you to log in to their personal MyChart account and connect to information regarding their family member. This communication is restricted to non-urgent matters. Proxy access is granted once an authorization form has been completed and processed by our Essentia Health Health Information Services Department. Proxy access can be terminated by the patient at anytime.

Can I view a family member's health record in MyChart?

Yes. The quickest way to set this is up is to have the person who wants to share their record log in to their MyChart account, select Share My Record from the main Menu and follow the prompts to send an invitation. Another option would be to complete a Proxy Consent Form and return it to the Health Information Services Department at Essentia Health. Visit the link to the form below that best fits your situation. If you want the ability to e-sign your MyChart Proxy form, please email MyChartSignUp@EssentiaHealth.org for more info.

  • Children ages 0-11 Click HERE
  • Children ages 12-17 Click HERE
    • If you want full access to your teen child’s account, please have your child sign the form. Your access will be limited without your child’s signature. Full access to your child’s account will expire in one year. You will need to submit another authorization form at that time.
  • Adults ages 18 and over Click HERE
    • Please have the person you are requesting access for sign the form. You will not receive access without this signature. Proxy access will expire in one year. You will need to submit another authorization form at that time.

Mail or email completed forms to:

Essentia Health
West Annex-HIS-45
400 East Third Street
Duluth, MN 55805

Phone: 877-231-1985 (option 2) | Fax: 218-786-6658
MyChartSignUp@EssentiaHealth.org

Can I have proxy access to an Essentia patient if I am not an Essentia patient?

Yes, but you will need to complete and submit THIS form to create your MyChart account AND one of the three proxy access forms mentioned above. Once complete, submit both forms using the contact information above.

Can I revoke proxy access?

Yes. The quickest way to revoke proxy access is to log into your MyChart Account, select Share My Record from the main Menu, select Friends and Family Access and follow the prompts to revoke access. Another option would be to notify the Health Information Services Department in writing that you want proxy access revoked. The change will be no later than the next business day and will not apply to information that has already been released before the effective date.