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Adult Proxy Authorization for Release of Medical Information

WEBThis form is an authorization that will permit providers utilizing The Queen’s Health Systems (QHS) Electronic Health Record (EHR) system to release your medical information in …

Actived: 3 days ago

URL: https://mychart.queens.org/mychart//en-us/QHS%20Adult%20Proxy%20Combined%202013.pdf

MyChart Child Proxy Form

WEBThe Queen’s Medical Center MyChart Medical Records 1301Punchbowl Street Honolulu, HI 96813. MyChart Child Proxy access is available for children ages 0 - 13 years ONLY. …

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