MyChart - Sign Up

We need some information to grant you a MyChart account. After you submit this request, it may take up to a week for processing and verification. When you're 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 us at 269-982-9300.

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Follow these steps to sign up for a MyChart account.

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

If you have any questions, please contact us at 269-982-9300.

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Follow these steps to sign up for a MyChart account.

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

If you have any questions, please contact us at 269-982-9300.

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We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, you will prompted to create your MyChart credentials. If you have any questions, please contact our MyChart customer service at 269-982-9300.

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First, we need to collect some information about the patient. If you have any questions, please contact us at 269-982-9300.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 269-982-9300.

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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.

First name

Middle name

Last name

Date of birth

Last four digits of SSN

Legal sex

Female Male Unknown

Home phone

Work phone

Mobile phone

Email address

Verify email address

Sign Up

Name

Address

Other Information