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The parent or guardian who is not a patient of Spartanburg Regional Healthcare System or its physician practices or location must fill out Form A and return it along with the appropriate form below.
The court-appointed guardian of the dependent adult must fill out Form D and return it to the physician office where the dependent-adult is a patient.
In order to request proxy access, you must have a MyChart account. If you are a current patient of Spartanburg Regional Healthcare System or its physician practices or locations, please activate your MyChart account prior to requesting proxy access.
If you are not a patient of Spartanburg Regional Healthcare System or any of its physician practices or locations, you must request a MyChart account in addition to requesting proxy access.