myChart - Sign Up

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. If you have any questions, please contact the MemorialCare myChart help desk at 1-877-mymemcare (877-696-3622).

Have an activation code, click here

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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 1-877-mymemcare (696-3622).

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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 1-877-mymemcare (696-3622).

Indicates a required field

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. If you have any questions, please contact the MemorialCare myChart help desk at 1-877-mymemcare (877-696-3622).

Have an activation code, click here

Indicates a required field

First, we need to collect some information about the patient. If you have any questions, please contact us at 1-877-mymemcare (696-3622).

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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 1-877-mymemcare (696-3622).

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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

Legal Sex

Female Male Unknown Nonbinary X

Home phone

Work phone

Email address

Verify email address

Mobile phone

In order to grant you a myChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your myChart account. If you have any questions, please contact your clinic.

We are checking with a third-party system to verify your identity. This may take several seconds.

In order to grant you a myChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your myChart account. If you have any questions, please contact your clinic.

These questions are generated by a third-party system to verify your identity. They do not impact your credit score in any way.

Sign Up

Name

Address

Other Information

Sign Up

Name

Address

Other Information

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