MyChart - Sign Up

We need some information from you in order to grant you a MyChart account. Once submitted, if we have been able to match you to a current patient in our system, you will receive an email with your activation code and instructions on how to activate your MyChart account. If you don’t have a social security number or email address, you can still use MyChart, but you will need to sign up at your primary care clinic. For any questions, please contact your primary care clinic.

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Follow these steps to sign up for a MyChart account.

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

If you have any questions, please contact us at primary care clinic..

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 primary care clinic..

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 primary care clinic..

First name

Middle name

Last name

Date of birth

Last four digits of SSN

Email address

Verify email address

Legal sex

Female Male

Sign Up

Name

Other Information

Sign Up

Patient Information

Name

Other Information