Minor Patient Proxy Access Request and Authorization Form
To access a minor 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
- Labor and Delivery Preadmission Form
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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
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Patient Resources
- Patient 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
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Specialties
- Bariatric Surgery
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Behavioral Health
- Inpatient Services
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Outpatient Services
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Community Counseling Program
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Practitioners
- Ellen McElderry, LIMHP, LADC
- Jerry Vobejda, LIMHP
- Roxanne Wayne, LIMHP
- Ryan Brown, LIMHP
- Robert Campbell, LIMHP
- Heather Dearinger, LIMHP
- Darren Flores, PLMHP, PCMSW
- April Haldeman, LIMHP
- Candice Harrington, LIMHP, LADC
- Jacob Hedlund, PLMHP, PCMSW
- Tori Hudson, LIMHP
- Spencer Jackson, PLMHP
- Tabitha Jameson, LIMHP
- Monique Kellogg, PLMHP, PCSW
- Alex Keogh, PLMHP
- Alison King, PLMHP
- Debra Kissel, LICSW, LIMHP, LADC
- Sabrina Knerr, LICSW
- Tylinn Lewis, LIMHP, LIMFT
- Mikayla Linakis, PLIMHP
- Adrian Lynn-Genevieve, PLMHP
- Natalie Nelson, LICSW
- Alex Nguyen, PLMHP
- Katie Pafford, LIMHP
- Angie Schindler-Berg, LMHP
- Stacey Taylor, PLMHP
- Brock Thornburg, LIMHP, CMSW
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Practitioners
- Employee Assistance Program
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Community Counseling Program
- Birth Services
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Cancer Care
- Breast Cancer
- Cancer Nutrition Services
- Cancer Rehabilitation
- Cancer Support Services
- Cancer Treatment
- Clinical Trials
- Gynecologic Oncology
- Head and Neck Oncology
- Hereditary Cancer Risk Program
- Lung and Thoracic Oncology
- Oncology Social Workers
- Psycho-Oncology
- Radiation Oncology
- Skin Cancer
- Surgical Oncology
- 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
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Harper's Hope
- Email Signup
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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