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Share Access

Share your Patient Portal

Access With Your Authorized Representative

This form is to be completed by you and your authorized representative (also known as a designated proxy) who would like access to your patient portal (MyCityofHope). From the patient portal, you or your authorized representative can securely and conveniently request your health information/medical records and they will be uploaded onto your patient portal account (or your designated proxy’s account).

 

Download Authorization Form - English

Download Authorization Form - Spanish

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Access Your Child’s Patient Portal

This form is to be completed by the patient’s parent or legal guardian who would like access to the patient portal (MyCityofHope). From the patient portal, the patient’s parent or legal guardian can securely and conveniently request health information/medical records, and they will be uploaded onto the patient portal.

 

Download Authorization Form - English

Download Authorization Form - Spanish

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Please forward completed forms to the Health Information Management Services (HIMS) Department the following methods below:
  • Email: HIMS-MyCityofHope@coh.org
  • Fax:    (626) 218-8443, Attention: Health Information Management Services (ROI)
  • Mail:    Health Information Management Services (ROI)
City of Hope
1500 East Duarte Road
Duarte, CA 91010
Frequently asked questions
Frequently Asked Questions
Can I view a family member's health record in MyCityofHope?
  • Yes, you can. This is called “proxy access” and allows a parent, guardian, caregiver or an authorized representative to log into the patient's personal MyCityofHope account, and then connect to information regarding the patient. Please download and complete either the Adult or Pediatric Proxy Authorization form found below.

Can I give a family member access to my health record in MyCityofHope?
  • Yes, you can. This is called “proxy access." Please download and complete either the Adult or Pediatric Proxy Authorization form found below.

Can I ask questions regarding a family member from my MyCityofHope account?
  • No, MyCityofHope offers direct access to your personal health information. If you were to communicate about another patient using your account, information about that patient would be placed in your health record. This could potentially jeopardize medical care.

Can my spouse and I share one MyCityofHope account?
  • No. However, you may complete a proxy consent form to grant your spouse or authorized representative access to your MyCityofHope account. Please download and complete either the Adult or Pediatric Proxy Authorization form found below.

Download Authorization Forms

Adult Proxy Authorization Form

Pediatric Proxy Authorization Form