Common Contracts
1 similar Authorized Representative Agreement contracts
ADULT PATIENT PORTAL AUTHORIZED REPRESENTATIVE AGREEMENTAuthorized Representative Agreement • April 10th, 2023
You have chosen to have an Authorized Representative access your patient portal account at CNY Family Care. An Authorized Representative has the same level of access as a patient and will provide them with the ability to access different parts of your medical record on our patient portal. As a user of an Authorized Representative portal account, you both must agree to the following terms and conditions.
