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 mychart@trihealth.com.

We need some information to grant you a MyChart account. Please enter your information as it appears on your state issued ID. 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 mychart@trihealth.com.

First name

Middle name

Last name

Date of birth

Legal sex

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Last four digits of SSN

Home phone

Email address

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Name

Address

Other Information

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Patient Information

Name

Address

Other Information