MyChart - Sign Up

We need some information to grant you a MyChart account. After you submit this request, it may take up to a week for processing and verification. 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 us at 219-226-2313.

Follow these steps to sign up for a MyChart account.

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

If you have any questions, please contact us at 219-226-2313.

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 219-226-2313.

We need some information from you in order to grant you a MyChart account. Once submitted, if we're able to match your information to your patient record you will be prompted to create a username and password. If we're unable to match your information to your patient record, 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 the MyChart Help Desk at 219-226-2313.

Indicates a required field

First name

Middle name

Last name

Date of birth

Legal sex

Female Male Unknown

Email address

Verify email address

Last four digits of SSN

Mobile phone

Home phone

Work phone

Sign Up

Name

Address

Other Information

Sign Up

Patient Information

Name

Address

Other Information