

If you do not have an SSN or do not wish to provide it, please leave the SSN field blank. We also ask that you provide your Social Security Number (SSN), although doing so is optional. In completing these fields, you are required to provide your full legal name. We are asking for the following information to help ensure such accuracy.

You can obtain a M圜hart account if you are a patient with an AHN provider or a new patient seeking care through the M圜hart website.Ĭaring for a child or loved one? Click here to learn about Family Access.Īccurate patient information is key to patient safety, which is our first priority. All information provided is stored securely in accordance with state and federal law, as well as robust security protocols.Įligibility: You must be 13 years or older to be eligible to participate in M圜hart. Please only submit one request per patient to help reduce the volume.Īccurate patient information is key to patient safety, which is our first priority. Processing time may take longer as we’re currently experiencing a high volume of requests.
RUSH MYCHART ACTIVATION CODE
After submitting this form, you’ll receive a separate activation code and sign-up instructions via email within 2 business days. Before you can sign up for M圜hart, we need a little more information from you.
