Sign Up for My Sanford Chart

 

My Sanford Chart is currently offered at these Sanford Clinics.

Request My Sanford Chart Access for Yourself
If you did not sign up for My Sanford Chart during your clinic visit, click here to request an activation code for yourself. You must be at least 12 years old to use My Sanford Chart.

Request Full Access (Age 0-11 years old) or Partial Access (Age 12-17 years old) to Your Child’s My Sanford Chart Record
Individual requesting access must have parental rights or legal guardianship rights. To sign up for access to your child’s My Sanford Chart record, click here. Please note that your child’s chart will be accessed through your My Sanford Chart record. Completing this form will establish a My Sanford Chart record for you and your child.

Request Full Access to Another Adult’s or Teenager’s (Age 12-17 years old) My Sanford Chart Record
To request access to the My Sanford Chart record of an adult or teenager whose medical care you help manage, please complete both pages of the Adult/Teen Proxy Form and mail to the address listed on the form for processing. In order to process your request, the patient must sign the Adult/Teen Proxy Form and provide authorization for release of medical information in My Sanford Chart on the page titled "Adult/Teen Proxy Authorization for Release of Medical Information". Please note that the patient's chart will be accessed through your (the proxy's) My Sanford Chart record. Completing this form will establish a My Sanford Chart record for you and for the patient.