RESOURCES

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United Way 211

United Way supports 2-1-1, a free and confidential service that helps people across North America find the local resources they need 24 hours a day, 7 days a week.

Need information or referral?

Dial 211 or 1-800-544-1601.

 

You can also text the 211 line – simply send your zip code to 898211. 

Learn more:

United Way 211

211.org

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Notice of
Privacy Practices

Click the icon above to

download the document. 

FORMS

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MyChart -
Adult Proxy Form

To request access to the MyChart record of an adult whose medical care you help manage, please complete this form. The patient must sign this form and provide authorization for release of medical information in MyChart on the “Adult Proxy Authorization Form.” Please note that the patient’s chart will be accessed through the proxy’s MyChart record. 

Click here to download the Adult Proxy Form.

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MyChart -
Teen Proxy Form

To sign up for access to your teen's MyChart record, please complete both pages of this Teen Proxy Form. Please note that your child’s chart will be accessed through your MyChart record.

Click here to download the Teen Proxy Form.

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MyChart -
Child Proxy Form

To request access to the MyChart record of an adult whose medical care you help manage, please complete this form. The patient must sign this form and provide authorization for release of medical information in MyChart on the “Adult Proxy Authorization Form.” Please note that the patient’s chart will be accessed through your the proxy’s MyChart record. 

Click here to download the Child Proxy Form.

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Clinical Student Application

At MVHC we value quality, integrity, accountability, commitment to excellence, unwavering respect, and appreciation for everyone. If this sounds like you, we would love to have you complete your clinical experience at one of our locations! 

 

Submission instructions are located at the bottom of the application.

Click here to download the application. 

Authorization to Release
Protected Health Information

Click the icon above to

download the document. 

Authorization to Release
Medical Records

Click the icon above to

download the document.