Adult Patient Proxy Access Request and Authorization Form
To access an adult patient's Methodist My Care medical records, please complete the form below to request proxy access.
- About
- Aortic Dissection at Any Age: The Tyler Kahle Story
- COVID-19 Information
- Clinical Trials
-
Harper's Hope
- Email Signup
-
Faces of Hope
- Brandy Sonier
- Brian Niedzwiecki
- Cheryl Stevens
- Crystal Slaughter
- Ernie Brenneis
- Greg Hansen
- Jessica Hunter Guerrero
- Jim Deupree
- Jon McAlpin
- Julia Laursen
- Leah Reineke
- Leslie Peterson
- Lorie Olson
- Marcy Jameson-Plautz
- Margie Johnson
- Margie Ostgaard
- Mary Robinson
- Matthew Twit
- Pat Hastings
- Ron Sindelar
- Sandy Krupka
- Steve Malcolm
- Steve Wiemeyer
- Support Services
- Labor and Delivery Preadmission Form
-
Locations
- Blood Sugar Form
- Dunklau Gardens
- Get Care Today
- Methodist Fremont Health
- Methodist Hospital
- Methodist Jennie Edmundson Hospital
- Neurology New Patient Health History
- Methodist Women's Hospital
- Lozier Mobile Mammo Registration
- Methodist Health Partners
- Methodist Mobile 3D Mammography
-
Patient Resources
- Admission Forms
- Billing and Insurance
- Classes and Events
- Lab and Test Results
- Methodist My Care
- Patient Education
- Patient and Visitor Services
- Pregnancy to Parenthood App
- Prescription Refills
- Recognize Staff
- Request Medical Records
- Provider and Employee Resources
- Search
-
Specialties
- Bariatric Surgery
-
Behavioral Health
- Inpatient Services
-
Outpatient Services
-
Community Counseling Program
-
Counselors
- Ellen McElderry, LIMHP, LADC
- Roxanne Wayne, LIMHP
- Ryan Brown, PLMHP
- Robert Campbell, PLMHP
- Angela Erickson, MA, LIMHP
- Darren Flores, PLMHP, PCMSW
- April Haldeman, LIMHP
- Candice Harrington, LIMHP, LADC
- Tori Hudson, PLMHP
- Tabitha Jameson, LIMHP
- Kaela Johnson, MS, PLMHP
- Debra Kissel, LICSW, LIMHP, LADC
- Alex Keogh, PLMHP
- Sabrina Knerr, PLICSW
- Tylinn Lewis, LIMHP, LIMFT
- Mikayla Linakis, PLIMHP
- DaeJanira LynCook, MS, LMHP
- Callie Moore, MS, PLMHP
- Natalie Nelson, PLMHP, PCMSW
- Katie Pafford, LIMHP
- Brock Thornburg, LIMHP, CMSW
- Jerry Vobejda, LIMHP
- Sarah Wiegman LIMHP, LADC
-
Counselors
-
Community Counseling Program
- Birth Services
- Cancer Care
- Clinical Trials
- Diabetes and Endocrinology
- Geriatrics and Senior Services
- Heart and Vascular
- Hospitalists
- Imaging
- Pathology
- Physical Therapy
- Primary Care
- Pulmonary Diagnostic Testing
- Sexual Assault and Domestic Violence
- Surgery
- Urology
- Women's Health