Sign Up

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Patient information

We need some information from you in order to set up a MyChart account. Once submitted, provided the information you enter below matches the information we have on file, you will receive an email prompting you to begin the set up process. If the personal information you enter does not match what is on record at The Christ Hospital you will receive an email with instructions on how to activate your MyChart account. If you have any questions, please contact your providers office.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at (555) 555-5555.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at (555) 555-5555.

We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic. Your social security # is highly recommended to match your identity and to verify your insurance.

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Name

First name

Middle name

Last name

Address

Other information

Date of birth

Legal sex

FemaleMaleUnknownNonbinaryXOther

Home phone

Email address

Verify email address

Last four digits of SSN

Mobile phone

Medical record number

What is a medical record number?This is the number assigned to you when you registered in the clinic. This number helps staff in the clinics to quickly identify your medical record. If you do not know your medical record number, you may call the registration desk.

Thank you - your request has been sent to the clinic. You will receive an activation code in your mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service.

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We were unable to verify your information, so your request will be sent to the administrator. You will receive an activation code by email within a week if you have an account.

If you have any questions or if you do not receive your activation code, call the helpdesk at 513-692-4278.

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We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.

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We were unable to verify your identity using the information provided. Please contact customer service at (555) 555-5555 for assistance.

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We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.

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There is an existing account for this person.

From the login page, click "Forgot username?" or "Forgot password?" to access this account.

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There is an existing account for this person.

Please contact us directly to restore access to your account.

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Ask the patient to resend the invitation.

We are experiencing technical difficulties at this time. Please try again or contact our customer service line for assistance.

Unable to complete MyChart signup. Please contact customer service at (555) 555-5555 for help activating your account.

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