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.
- The patient's full social security number must be on file to activate a MyChart account.
- If you already have a MyChart account with Edward, Elmhurst Memorial or a DuPage Medical Group 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.
- We will mail your activation code within five to seven business days to the address 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.
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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