Request for Adult Seeking Access via Durable Power of Attorney to Karmanos 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:
Medical Records Department
c/o Patient Portal
4160 John R St.
G133
Detroit, MI 48201

Please allow time for delivery and processing.

2 Physician Certifications Verifying Patient Lacks Decisional Capacity