Create a Teen MyChart Account


When a child turns 12 years old, there are automatic changes made to the kind of access a parent or guardian has to the child's health information in Duke MyChart. This is in compliance with North Carolina state law and our commitment to preserve the confidentiality and improve the health of our teen patients.

Changes in Functionality

If you have used MyChart in the past to view your child’s information and communicate with their health care team at Duke, you will only be able to access a limited amount of information moving forward. This includes a list of appointments, allergies, growth charts, and labs that the care team has released to you. To access this information, a parent or guardian must have a Duke MyChart proxy account linked to their child. (A proxy account allows the parent or guardian to view part or all of a child’s health information in MyChart). If you have been using MyChart for your child, this is the account you have already.

For more information, see our frequently asked questions.

How to Create a Teen MyChart Account

An access code must be delivered from a Duke Health provider to a teen in person or to the teen’s personal email address. Due to state law, an activation code cannot be provided to a parent or guardian.

Step 1
A parent or guardian must sign consent forms in their existing MyChart proxy account. These consent forms are located in the MyChart menu under the section labeled “Sharing." They are listed as an item with the title: “Request Account for Minor (12-17)."

If you do not yet have a proxy account, see our FAQs for how to create one.

Step 2
A Duke Health provider or staff member will establish an account for your teen and send them an activation code to create their own MyChart account.
Step 3
Your teen can visit Duke MyChart to use the activation code and create a new account.

Frequently Asked Questions

Why does access to MyChart change?
State law protects the right of minors to obtain confidential health care information regarding issues around mental health, reproductive health (sexually transmitted infections, pregnancy), and substance use. Teens can be seen and treated for these conditions without the consent of a supervising adult because there is evidence that without a layer of privacy, many children will not seek care for these high-risk health conditions or behaviors, which can negatively affect their health. Because of North Carolina law, the information we can display in Duke MyChart for the parents or guardians of most children between the ages of 12 and 17 is very limited. 
How can our family continue to communicate through MyChart?
Duke Health understands the importance of maintaining communication with our teens and their families. To accomplish this, and in accordance with state law, your teen can be given access to their own MyChart account where they will be able to receive appointment reminders, view upcoming appointments, and message their providers.

What if I don’t agree with limiting my access as a parent or guardian and want to continue to have full electronic access to my child's health information?
Because this policy is the result of state law, it is applied to all children with only rare exceptions based on medical exemptions.
Do I have to allow my child to have a teen account?
No, you can choose to communicate exclusively by phone with your child’s health care team. You will need to call our offices to receive access to test results, appointment information, make requests for refills, or get answers to medical questions. A parent or guardian has to give consent for the teen to have an account.

Need Help?

If you need assistance with this or other functions of Duke MyChart, call customer service at 919-620-4555 or 800-872-6945. Staff are available from 8:00 am to 5:00 pm Monday, Tuesday, Wednesday, and Friday, and 8:00 am to 4:00 pm Thursday.

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This page was medically reviewed on 03/15/2022