MyChart - Choose a Signup Method

Please choose one of the following options to begin the signup process.

Any patient can request to receive an activation code by U.S. Mail. This will arrive in 7-10 days.

If you do not have a record in our system, please select this option.

3rd Party Identity Validation
(Instant Activation)

Activate instantly! You can validate your identity by answering questions from a third-party verification system.

The questions from the 3rd party system are only used to confirm your identity within that system. Your information is not stored in MyChart, or any other system.

Complete the form below to request an Activation Code mailed to your home.

This account will connect to your information in the records of

UW Health (University of Wisconsin),
SwedishAmerican,
Access Community Health Centers
and Quartz

Parents & Guardians: To request access to your child or another person, log into your personal account and follow the instructions to request proxy access.

Please read the MyChart Terms and Conditions of Use. You may also learn more on the FAQs page.

If the information you provide does not match our records, we will contact you for clarification at the email address you provide below. Please note that most email is not encrypted, and therefore not absolutely private. We will not send any information about your health to the email address below.

Indicates a required field,

This account will connect to your information in the records of

UW Health (University of Wisconsin),
SwedishAmerican,
Access Community Health Centers
and Quartz

Parents & Guardians: To request access to your child or another person, log into your personal account and follow the instructions to request proxy access.

Please read the MyChart Terms and Conditions of Use. You may also learn more on the FAQs page.

If the information you provide does not match our records, we will contact you for clarification at the email address you provide below. Please note that most email is not encrypted, and therefore not absolutely private. We will not send any information about your health to the email address below.

Indicates a required field

First, we need to collect some information about the patient. If you have any questions, please contact us at 1-877-768-0732.

Indicates a required field

Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 1-877-768-0732.

Indicates a required field

We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.

First name

Middle name

Last name

Site

Address information is required.

Date of birth

Home phone

Email address

Verify email address

Last four digits of SSN

Legal Sex

Female Male Unknown Nonbinary X Other

By clicking Submit, you are agreeing to the MyChart Terms and Conditions of Use.

This instance of MyChart connects to information in the records of:

UW Health (the integrated health system of the University of Wisconsin-Madison)

SwedishAmerican (a division of UW Health) (IL)

Access Community Health Centers (greater Madison and Iowa County; WI)

Quartz branded health plans (WI, IL, IA, MN)

By clicking Next, you are agreeing to the MyChart Terms and Conditions of Use.

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.

These questions are generated by a third-party system to verify your identity, and are not stored or transmitted to our system at any time. These questions are used strictly to validate your identity.

By clicking Next below, you are agreeing to the MyChart Terms and Conditions of Use.

Choose a Signup Method

Name

Address

Other Information

About MyChart

Request Submitted

Request Submitted

Request Submitted

Oops! Something is not right here...

Oops! Something is not right here...

A MyChart account already exists for you

A MyChart account already exists for you

Oops! Something is not right here...

Choose a Signup Method

Before requesting an account...

Before creating an account...

Name

Address

Other Information

About MyChart

Request Submitted

Request Submitted

Request Submitted

Oops! Something is not right here...

Oops! Something is not right here...

A MyChart account already exists for you

A MyChart account already exists for you

Oops! Something is not right here...

Unable to Verify Your Identity

Unable to Verify Your Identity