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Patient Information
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 (555) 555-5555.
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 (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.
FOR NEW ACCOUNTS ONLY: Use this form to register for a new MyChart account. If you have an existing account and do not remember your username or password, use the Recover Your Username or Password Reset forms for assistance. If you already have an activation code, you’ll want to sign up from our MyChart Signup Page.
INSTRUCTIONS: Complete the fields in the form below. If the information you provide matches our records, you will receive a MyChart activation code by email shortly after you submit the form. If we cannot match your information, a support representative will contact you by email in 2-4 business days with further instructions. Note that you must be an existing Lee Health patient 18 years or older to have an account.
In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.
We are checking with a third-party system to verify your identity. This may take several seconds.
In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.
Unable to Verify Your Identity
We are unable to verify your identity using the information provided. Please fill out a Technical Support Form on the MyChart Support Page and a support representative will follow up with you in 2-4 business days.
Unable to Verify Your Identity
We are experiencing some technical difficulties while communicating with the third-party verification system. Please contact our customer service line for assistance.
In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.
As an extra layer of security, Lee Health has partnered with Experian and their Precise ID verification system. The following questions are generated from Experian's records and are used to further validate your identity and help Lee Health provide you secure access to your medical record.
- These questions are unique to you and come from a credit database.
- Answering these questions will have absolutely no impact on your credit score or history.
- We do not record or store the information in any capacity.
- We only use the information to verify your identity for this MyChart request.
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