Please Identify Yourself

Step 1 of 3

All fields are required.

MyCHArt Activation Code

Enter your MyCHArt Activation Code exactly as it appears on your enrollment letter. You will not need to use this code after you've completed the signup process.

xxxxx
-
xxxxx

Please enter your CHA Medical Record Number. If you are signing up as a Proxy, enter the Medical Record Number of the patient you received your MyCHArt proxy access under.

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