Please fill out all the information below to gain instant access to your MyUofMHealth.org account. Based on the information provided on this form, we will match your information within the system. 

Please note that the items marked with an asterisk are "required" for matching purposes. However, if you do not know/wish to answer, leave it blank for items that are not required or enter NA for items that are marked required.

Important: You must be 18 years and older to request access online. If you are under 11, a request will be sent to HIE Support Desk for additional verfication. Patients between the ages of 11 and 17 must request a MyUofMHealth.org account through their provider.

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 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 your clinic.

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