Health Proxy Access Agreement Sample Contracts

My BHS Health Proxy Access: Adult Authorization Form

Health Proxy Access Agreement • May 2nd, 2022

• Contract Type
  Health Proxy Access Agreement
• Filed
  May 2nd, 2022

My BHS Health Proxy Access: Power of Attorney/Legal Guardian Proxy Request Form- Adult Patient (For patients under 13 years of age)

Health Proxy Access Agreement • October 20th, 2020

• Contract Type
  Health Proxy Access Agreement
• Filed
  October 20th, 2020