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Patient Information

UTMB Health MyChart access for adults ages 18 years and older

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.

UTMB Health MyChart access for teens ages 14-17 years

Access to UTMB Health MyChart for our teen patients, ages 14-17 must be activated during a clinic visit. We encourage our teen patients interested in activating MyChart access to discuss this with the doctor at his or her next appointment.

UTMB Health MyChart access for adults ages 18 years and older

UTMB Health MyChart access for teens ages 14-17 years

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at (409) 772-4278.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at (409) 772-4278.

Indicates a required field

We need to collect some information about the patient in order to schedule this appointment.
1) Mobile phone is preferred for text message notifications. Use home or other number if not available.
2) By providing your mobile phone you agree to receive a text reminder for your appointment with the ability to cancel or confirm.
3) If you do not wish to receive electronic text reminders please call (409) 772-2222 to schedule this appointment.

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Name

First name

Middle name

Last name

Address

Other Information

Medical record number

What is medical record number?This is the number assigned to you when you registered in the clinic. This number may be found on an After Visit Summary. If you do not know your medical record number, you may call <a href='tel:4097724278'>(409) 772-4278</a>. (Consists of six numbers and a capital letter)

Date of birth

Legal sex

FemaleMaleUnknown

Home phone

Email address

Verify email address

By clicking Submit, I hereby affirm that I am the patient identified above. I understand that I may be subject to penalties under law for submitting false or misleading information in connection with this application to access the MyChart service.

Thank you - your request has been sent to the clinic. You will receive an activation code in your mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service.

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We were unable to verify your information, so your request has been sent to the clinic. You will receive an activation code by mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service at (409) 772-4278.

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We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.

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We were unable to verify your identity using the information provided. Please contact customer service at (409) 772-4278 for assistance.

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We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.

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There is an existing account for this person.

From the login page, click "Forgot username?" or "Forgot password?" to access this account.

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There is an existing account for this person.

Please contact us directly to restore access to your account.

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Ask the patient to resend the invitation.

We are experiencing technical difficulties at this time. Please try again or contact our customer service line for assistance.

Unable to complete MyChart signup. Please contact customer service at (409) 772-4278 for help activating your account.

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