Please Identify Yourself

Step 1 of 3

All fields are required.

MyChart Activation Code

Enter your Activation Code as it appears on your enrollment letter.

xxxxx
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xxxxx
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xxxxx

This is the unique number assigned to you when you were registered in the clinic. This number helps staff in the clinic to quickly identify your medical record. If you do not know your Medical Record Number you can find it on an After Visit Summary (AVS), a Billing Statement or you can call MyChart Customer Support Monday through Friday 8:00-5:00 at 415-514-6000

Date of Birth

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

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dd
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yyyy