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Please Identify Yourself. If you are a parent/guardian/proxy please enter YOUR information below

Step 1 of 3 All fields are required.



MyChart Activation Code
xxxxx
-
xxxxx
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xxxxx
 

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.

Your Date of Birth
mm
/
dd
/
yyyy

If you are the Proxy(parent/guardian) for your child(ren), please enter YOUR date of birth(not the child's) to authenticate yourself. Enter your date of birth in the format shown, using 4 digits for the year.

xxxxx

Please enter your ZIP code.