RESOURCES
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:
Notice of
Privacy Practices
Click the icon above to
download the document.
FORMS
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.
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.
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.
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.
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.