Please Identify Yourself

Step 1

All fields are required.

MyChart Activation Code

Enter your 10-digit Activation Code (your code is not case sensitive and you only need it once).

xxxxx
-
xxxxx

Please enter the last 4 digits of your Social Security Number.

nnnn
Date of Birth

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

mm
/
dd
/
yyyy