Request proxy access for a child or dependent

Best first step: Confirm whether you are requesting access for a minor child, adult dependent, legal ward, or another dependent relationship. The documents and access rules may be different for each situation.

• Proxy access lets an approved person help manage care for a child or dependent.
• Access may depend on the patient’s age, legal status, custody or guardianship, and the type of care involved.
• Some records may remain limited even when proxy access is approved.
• Behavioral health, crisis, safety-plan, medication, and adolescent-sensitive information may have additional privacy restrictions.
• Silent Hill Health may ask for identity verification or legal documents before approving access.
• Proxy access can usually be updated, limited, or removed later when appropriate.

• Helping schedule or manage appointments.
• Receiving selected appointment or care reminders.
• Messaging about care needs when available.
• Completing forms or registration tasks.
• Helping coordinate transportation, follow-up, or medication pickup.
• Viewing selected records or instructions when allowed.
• Communicating with care teams when authorization and policy allow.

Requester type	What may be required
Parent of a minor child	Identity verification and confirmation of parent relationship or authority.
Legal guardian	Current guardianship or court documentation may be needed.
Foster parent or placement caregiver	Placement or agency documentation may be needed.
Representative for an adult dependent	Legal authority, patient authorization, or representative documentation may be required.
Other caregiver or support person	Patient or legal representative authorization may be needed before access is granted.

• Some proxy access may change automatically as the child gets older.
• Some adolescent records may have additional privacy protections.
• Behavioral health, reproductive health, substance-use care, and crisis records may have special access rules.
• Adult dependents may need to authorize access unless legal authority applies.
• Custody, guardianship, or representative documents may need to be current.
• Access may be limited to specific services, dates, or functions.

• View selected appointments and visit information.
• Help schedule, cancel, or reschedule appointments when available.
• Receive selected reminders or care instructions.
• Complete forms, questionnaires, or registration steps.
• Send messages or ask care questions when available.
• Review selected medication or discharge instructions when allowed.
• Help coordinate follow-up care, transportation, or support needs.

Important: Proxy access may be limited even for parents, guardians, or legal representatives when sensitive information, age-based privacy rules, behavioral health records, crisis information, or safety planning is involved.

• Full behavioral health notes may not be visible.
• Crisis referrals, wellness checks, or safety reviews may have restricted details.
• Some adolescent-sensitive information may be hidden or limited.
• Some medication information may be limited if it reveals sensitive care details.
• Test results or messages may be delayed or restricted.
• Records requests may still require separate authorization or review.
• Proxy users may not be able to change every care decision through the portal.

1. Identify the patient and the requester.
2. Explain the relationship to the child or dependent.
3. Choose what type of proxy access is needed.
4. Provide identity verification when requested.
5. Provide custody, guardianship, placement, or legal representative documentation if needed.
6. Specify whether access should apply to Brookhaven, Alchemilla, the portal, or all Silent Hill Health services.
7. Ask what information may remain limited.
8. Ask when access will begin and when it may change or expire.

• Patient full name and date of birth.
• Requester full name and date of birth.
• Requester contact information.
• Relationship to the patient.
• Type of access requested.
• Which services the access should apply to.
• Whether access is temporary or ongoing.
• Custody, guardianship, placement, or legal representative documentation, if applicable.
• Any known sensitive-record, safety, or privacy concerns.

• Some behavioral health notes may not appear in proxy view.
• Safety-plan details may be limited or discussed only with patient approval when required.
• Medication information may be limited if it reveals sensitive treatment details.
• Crisis referrals and emergency behavioral health records may have additional restrictions.
• Some information may require records review instead of portal access.
• Staff may still receive safety concerns from a caregiver even if access is limited.

• Confirm which patient record appears in the portal.
• Check which features are available.
• Ask what information may remain limited.
• Ask whether access expires or changes when the patient reaches a certain age.
• Ask how to update contact information or legal documentation.
• Ask how to remove or change proxy access later.
• Report portal access issues if the wrong record appears or access seems incorrect.

Do not wait for a routine proxy request, portal message, or records review if the issue involves immediate safety, suspected abuse, coercion, custody conflict affecting care, unauthorized access during an emergency, or someone using access to interfere with care.

• If you are at Brookhaven or Alchemilla, tell reception, registration, security, or the care team immediately.
• If a child or dependent may be harmed or is unsafe, use crisis, emergency, or protective support.
• If someone may harm themselves or someone else, use crisis or emergency support.
• If there is a medical emergency, use emergency services or Alchemilla Emergency Services.
• If portal access is being misused, ask for immediate account or privacy review.