Welcome! Premier Health is pleased to offer this online request service for your MyChart activation. Please provide all information as required below to gain access to your Premier Health MyChart account. If the information you enter matches our records, you will be prompted to create a username and password to complete the activation process.

If the information doesn't match our records, we will attempt to verify the information, and will mail your activation code to the address provided. Should we have any questions regarding your submission, we will contact you via the home phone number you have submitted. If you have any questions, please contact your provider's office.

Please verify your information is correct if using autofill.

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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. 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 your clinic.

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First, we need to collect some information about the patient. If you have any questions, please contact us at (555) 555-5555.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at (555) 555-5555.

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We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.