Please Identify Yourself

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
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xxxxx
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xxxxx
Date of birth

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

mm
/
dd
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yyyy

Please enter your eCheck(MRN).