You can download our proxy authorization form if you need access to a family member or dependent's mystlukes patient portal.
- Family member or dependent must be 13 years old or older and willing to agree to provide access by signing the form.
- Family member or guardian will not have full access to the dependent's mystlukes patient portal.
To gain proxy access in person, accompany the family member or dependent to their physician's office so they can provide verbal consent for you. No form is necessary.