Complete the appropriate form to sign up for MyChart:

For your own health information record
(Age must be 13 and over) click on:...........................................MyChart Sign up form

To request access to MyChart for another patient(Proxy Access):

If patient is aged 12 or younger click on: ..................................MyChart Child Form

If patient is aged 13 - 17 click on: .............................................MyChart Adolescent Form

If patient is age of 18 or older click on: .....................................MyChart Adult Form

Pre-admission Testing Information:

Pre-admission testing hand out to patients: ............................Pre-admission Testing