Before you can sign up for MyChart, we need a little more information from you. After submitting this form, you’ll receive a separate activation code and sign-up instructions via email within 2 business days. Processing time may take longer as we’re currently experiencing a high volume of requests. Please only submit one request per patient to help reduce the volume.

Accurate patient information is key to patient safety, which is our first priority. We are asking for the following information to help ensure such accuracy. In completing these fields, you are required to provide your full legal name. We also ask that you provide your Social Security Number (SSN), although doing so is optional. If you do not have an SSN or do not wish to provide it, please leave the SSN field blank. All information provided is stored securely in accordance with state and federal law, as well as robust security protocols.

Eligibility: You must be 13 years or older to be eligible to participate in MyChart. You can obtain a MyChart account if you are a patient with an AHN provider or a new patient seeking care through the MyChart website.

Caring for a child or loved one? Click here to learn about Family Access.


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Accurate patient information is key to patient safety, which is our first priority. We are asking for the following information to help ensure such accuracy. In completing these fields, you are required to provide your full legal name. We also ask that you provide your Social Security Number (SSN), although doing so is optional. If you do not have an SSN or do not wish to provide it, please leave the SSN field blank. To ensure accurate patient identification and validation, AHN has partnered with Precise ID. This partnership will require a few additional personal questions, but will allow AHN to specifically identify you in our records as either an existing patient, or new patient to AHN. This process is essential to ensure we are providing and coordinating the best possible care to our patients. All information provided is stored securely in accordance with state and federal law, as well as robust security protocols.

Eligibility: You must be 13 years or older to be eligible to participate in MyChart. You can obtain a MyChart account if you are a patient with an AHN provider or a new patient seeking care through the MyChart website.

Caring for a child or loved one? Click here to learn about Family Access.


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First, we need to collect some information about the patient. If you have any questions, please contact your clinic.

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Now, we need to collect some information about you. Once we have this information, we will set up your appointment. If you have any questions, please contact your clinic.

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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.