Please Identify Yourself

Step 1

All fields are required.

MyChart Activation Code

Enter your Activation Code (not case sensitive). You will not need to use this code after you complete the signup process.

xxxxx
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xxxxx
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xxxxx
National ID/ Iqama ID

Enter your National ID/ Iqama ID in the format shown.

NNNNNNNNNN

Please enter your phone number.

xxx-xxx-xxxx