Identify Yourself

Step 1 of 3

It’s very important that we identify you accurately before creating a MyChart account containing your personal medical information. Please complete the following for identification purposes. If you’ve received an activation code, you can enter it here. If you do not have an activation code, click Sign Up Online, and we’ll verify your identity.

MyChart Activation Code

Enter your Activation Code as it appears on your enrollment letter (your code is not case sensitive). You will not need to use this code after you complete the signup process.

xxxxx
-
xxxxx
-
xxxxx
Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy

Please enter your ZIP code.

xxxxx

Please enter your e-mail address.

abc@xyz.com