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Patient information

We need some information from you in order to grant you a MyChart account. Once submitted, it could take up to 24 hours for processing and verification. Once approved, you will receive an email or a letter with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact your clinic.

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Follow these steps to sign up for a myConnection account.

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

If you have any questions, please contact us at 1-844-263-4442.

Follow these steps to sign up for a myConnection account.

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

If you have any questions, please contact us at 1-844-263-4442.

Follow these steps to sign up for a myConnection account.

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

If you have any questions, please contact us at 1-844-263-4442.

Indicates a required field.

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Name

First name

Middle name

Last name

Address

Other information

Date of birth

Legal sex

FemaleMaleUnknown

Last four digits of SSN

Home phone

Email address

Verify email address

Thank you - your request has been sent to the clinic. You will receive an activation code in your mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service.

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We were unable to verify your information, so your request has been sent to the clinic. You will receive an activation code by mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service at 1-844-263-4442.

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We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.

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We were unable to verify your identity using the information provided. Please contact customer service at 1-844-263-4442 for assistance.

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We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.

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There is an existing account for this person.

From the login page, click "Forgot username?" or "Forgot password?" to access this account.

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There is an existing account for this person.

Please contact us directly to restore access to your account.

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Ask the patient to resend the invitation.

We are experiencing technical difficulties at this time. Please try again or contact our customer service line for assistance.

Unable to complete myConnection signup. Please contact customer service at 1-844-263-4442 for help activating your account.

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