To provide you with a MyChart account, you will need to provide the information below. If we match your information with our records, you will be taken to the login screen where you can log in to your account.

If additional research is needed to match your information with our records, we will email an activation code within 24 hours emailed to the address you provided. If you do not receive your activation code within 24 hours, please call 336-83CHART (336-832-4278), or click Here to contact the MyChart Help Desk.

(Must be age 18 or older)

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.

 Indicates a required field