Please Identify Yourself

If you have an Activation Code, use the form below.
If you do not have an Activation Code, sign up online.

Step 1

All fields are required.

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

Please enter the last 4 digits of your Social Security Number.

nnnn
Date of Birth

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

mm
/
dd
/
yyyy