MyChart - Signup

Please follow the instructions below to request an activation code for yourself. You must be at least 12 years old to use My Sanford Chart.

We need some information from you in order to grant you a My Sanford Chart account. Please allow up to one business day for processing and verification. Should we have any questions regarding your submission, we will contact you via the phone number you have submitted.

To request access for a family member's My Sanford Chart account, please click here.

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We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, 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 your clinic.

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Name

First name

Middle name

Last name

Other Information

Date of birth

MM/DD/YYYY

Last four digits of SSN

NNNN

Home phone

NNN-NNN-NNNN

Mobile phone

NNN-NNN-NNNN

Email address

Verify email address

Finally, as a spam prevention measure, complete the CAPTCHA below.

This field is machine-generated content. Please ignore.

I agree by clicking the submit button, I am requesting this access for myself and not on behalf of another patient.

Request an Activation Code

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