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Patient Information
We are pleased to offer this on line request service for your MyChart activation code. Your activation code will be your key to your personal and secure electronic medical record.
If you have forgotten your username, please click here to recover it.
If you have forgotten your password, please click here to reset it.
IMPORTANT:
- If you already have a MyChart account with an Edward-Elmhurst Health physician, you do not need a new activation code. You are already active for all.
- This form may only be used to request a personal MyChart account. Please click here to download and submit a Proxy request for a family member as we will need a signature from the family member.
- Please provide your legal name as it appear on your driver's license or other legal identification.
- We will email your activation code within 24 hours to the email address provided below after validating your submission with your electronic medical record. You will receive the secure activation code and instructions on how to activate your MyChart account.
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