MyChart - Sign Up

We need some information from you in order to grant you a MyChart account.

If you already have a MyChart account with us, please do not use this form. Please click here to contact us for assistance with signing into your existing account.

Individual MyChart account holders must be at least 13 years old and have a medical record on file with Saint Francis Health System. If you are 13-17 years old you must use your own personal email address. Parent and legal guardian email addresses will not be accepted.

First, we need to collect some information about the patient.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment.

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First name

Middle name

Last name

Date of birth

Gender

Female Male Unknown

Last four digits of SSN (Optional)

Email address

Verify email address

Home phone

Mobile phone

Work phone

Sign Up

Name

Address

Other information

If you’re trying to schedule a Virtual Urgent Care Visit after hours:

If you’re trying to access medical information such as recent test results, provider notes, billing and After Visit Summaries:

If you’re trying to establish care with a new provider: