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Please Identify Yourself

Step 1 of 3 All fields are required.



MyUofMHealth.org Activation Code
xxxxx
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xxxxx
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xxxxx
 

Enter your Activation Code as it appears on your enrollment letter (your code is not case sensitive). You will not need to use this code after you complete the signup process.

Date of Birth
mm
/
dd
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yyyy
 

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

 
 

Your medical record number must be entered using 9 digits. if your medical record number is less than 9 digits, add zeros to the beginning of your number. Example: 123456 must be entered as 000123456

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