Please Identify Yourself

Step 1

All fields are required.

MyCHArt Activation Code

Enter your Activation Code as it appears on your enrollment letter (your code is not case sensitive). You will not need to use this code after you complete the signup process.

xxxxx
-
xxxxx

Please enter your CHA Medical Record Number. This can be found on the patient's most recent After Visit Summary. If you are signing up as a Proxy, enter the Medical Record Number of the patient for whom you are requesting MyCHArt proxy access. If you don't know the Medical Record Number, click "Sign Up Online" on the right.

All 10 digits are required
Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy