In order to grant you a MyScripps account, we will verify your identity using the information provided below. Once verified, you will be able to create your MyScripps account. If you have any questions, please contact the MyScripps support line at: 888-668-8338.

Providing as much information as possible will help us process your request more quickly.

This form is only to be used for requesting access to your own patient information. To request access to a minor's record, use the Request Access to Minor form. To gain access to another adult's record, the other adult must log into their own account and send you a Proxy Invite.

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.

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First, we need to collect some information about the patient. If you have any questions, please contact your clinic.

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Now, we need to collect some information about you. Once we have this information, we will set up your appointment. If you have any questions, please contact your clinic.

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