Please Identify Yourself

Step 1

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

myHealth Online activation code

Enter your activation code as it appears on your enrollment letter or After Visit Summary®. Your code is not case sensitive.

xxxxx
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xxxxx
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xxxxx

Please enter your medical record number or the medical record number of the patient you want to access. Do not enter spaces or dashes.

 
Date of birth

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

mm
/
dd
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yyyy