We need some information from you in order to grant you a MyChart account. Once submitted, the system will use the information provided to validate your identity and take you directly to MyChart to enroll. If we are unable to verify your identity instantly, we will email you an activation code and instructions on how to activate your MyChart account to the e-mail address you provided in the form. Should we have any questions regarding your submission, we will contact you via the phone number you provided in the form. You can expect to hear from us within 2 business days. If you have any questions, please contact your clinic.

We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, you will receive an email or a letter with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact your clinic.

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