Request for Adult Seeking Access via Durable Power of Attorney to McLaren HealtheLife Portal

*Indicates required information

important notice

Important | For Durable Power of Attorney for Healthcare:
The requestor must provide a copy of the valid Durable Power of Attorney for Healthcare and two Physician Certifications verifying the patient lacks decisional capacity.

Guardian Information

Patient Information

In order to claim your invitation, you will need to remember your challenge question answer.

Legal Documents Required:

Please upload or mail to:
McLaren Macomb Medical Records Dept.
c/o Patient Portal
1000 Harrington Blvd.
Mount Clemens, MI 48043

Please allow time for delivery and processing.

2 Physician Certifications Verifying Patient Lacks Decisional Capacity