Complete the form below to request a personal myHealth Online account.
To request access to a family member's chart, please click the link below for additional information on how to request Access to My Family's Records.
Improperly accessing another person’s medical record without a valid authorization is against State and Federal confidentiality law.

Once submitted please allow 2 business days for processing and verification. You will receive an email with instructions or information about your myHealth Online account. If you have any questions, please call our support team at (408) 977-3524.

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

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First, we need to collect some information about the patient. If you have any questions, please contact us at 1-888-334-1000.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 1-888-334-1000.

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We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.