Self-Enrollment for HEALTHConnect

Get Started

Fill out the form below to create your HEALTHConnect account — your online patient portal to manage health records, appointments, lab results and more.

Note: This form can only be used to set up your own personal account. If you’d like to create an account on someone’s behalf, please call your health provider’s office. You must be at least 13 years of age to create an account.

If you have an account, click here to log in.

* Indicates a required field.

First name

Last name

Date of birth

Month

Day

Year

Enter the year as 4 digits.

How would you like to verify your account?

Medical Record Number The Medical Record Number (MRN) is a unique number that identifies you in the electronic medical record. You can find your MRN on your depart or discharge summaries. Visit https://goo.gl/hX2TCQ to see the MRN on a summary.

Enter the email address we have on file

Enter mobile phone number we have on file Example: (555) 555-5555

Identity verification