MyChart - Sign Up

All information must be provided by the patient requesting the activation code. Other activation needs (such as proxy access or to sign up other family members) should be addressed at your next clinic appointment. If you have any questions, please contact your clinic.

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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 817-702-2478.

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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 817-702-2478.

Indicates a required field

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 817-702-2478.

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First, we need to collect some information about the patient. If you have any questions, please contact us at 817-702-2478.

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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 817-702-2478.

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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

Email address

Verify email address

Medical record number

Last four digits of SSN

Mobile phone

Home phone

Sign Up

Name

Address

Other Information