Please Identify Yourself

Step 1

All fields are required.

myHealth Activation Code

Enter your Activation Code. Your code may be found on your hospital discharge instructions, billing statement or printouts from your doctor's office.

xxxxx
-
xxxxx
-
xxxxx
Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy

Please enter your eCheck(MRN).