MyChart - Sign Up

We need some information to grant you a MyChart account. After you submit this request, it may take up to a week for processing and verification. When you're approved, 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 us at 888-730-4812.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your contact information.
Choose a username and password.

If you have any questions, please contact us at 888-730-4812.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 888-730-4812.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If the information provided does not match what is in your Electronic Medical Record with Valley Health, you may not be able to immediately create a MyChart account. You can update your information at your next Valley Health appointment and/or request a MyChart Activation code.

Indicates a required field

First name

Middle name

Last name

Date of birth

Last four digits of SSN

Legal sex

Female Male Unknown X

Home phone

Mobile phone

Email address

Verify email address

Medical record number

ATTESTATION:

By selecting the "Next" button, I certify that I am the above named individual, that the personally identifying information I entered above is true and accurate. This certification serves as my authorization for the above entered information to be validated against my information already on file with Valley Health System.

If such validation is successful, I authorize Valley Health to send a validation Code to my e-mail address or my phone number on file, depending upon my selection.

I understand that falsification of identifying information on this form constitutes fraud. I understand that I may be subject to civil penalties or criminal prosecution for intentionally accessing information through this portal to which I am not entitled if such access was gained fraudulently.

NOTE:

If we were unable to verify your identity and you were not able to create a MyChart account, please get an Activation Code at your next Valley Health appointment.

If MyChart could not verify your information, you may be prompted to use a third-party vendor, i.e. Experian or Precise ID, to verify your identity. Should you select “Next” below and continue, you agree to allow the third-party vendor to pull a soft credit inquiry. Continuing is optional. You may call the Help Desk at 888-730-4812 for account set up assistance.

In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.

We are checking with a third-party system to verify your identity. This may take several seconds.

In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.

These questions are generated by a third-party system to verify your identity.

Sign Up

Name

Address

Other Information

ATTESTATION:

NOTE:

Sign Up

Patient Information

Name

Address

Other Information

ATTESTATION:

NOTE:

Unable to Verify Your Identity

Unable to Verify Your Identity