MyChart - Choose a Signup Method

If you are a minor age 12-17, you can email MyChartSignUp@EssentiaHealth.org for an electronic activation form, or request MyChart access at your next doctor's appointment. You can also visit our FAQ page for a printable form.

Once you have filled out the form below, you will be routed to a verification service called Experian. Essentia Health does not have access to the information you share with Experian. Once your identity has been verified, you will be able to proceed with creating a MyChart account.

If you are unable to create an account, our MyChart Sign Up team will review your request and respond by email within two business days.

If you would like access to a loved one's health information Click Here to request proxy access.

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If you are a minor age 12-17, you can email MyChartSignUp@EssentiaHealth.org for an electronic activation form, or request MyChart access at your next doctor's appointment. You can also visit our FAQ page for a printable form.

Once you have filled out the form below, you will be routed to a verification service called Experian. Essentia Health does not have access to the information you share with Experian. Once your identity has been verified, you will be able to proceed with creating a MyChart account.

If you are unable to create an account, our MyChart Sign Up team will review your request and respond by email within two business days.

If you would like access to a loved one's health information Click Here to request proxy access.

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First, we need to collect some information about the patient. If you have any questions, please contact your clinic.

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Now, we need to collect some information about you. Once we have this information, we will set up your appointment. If you have any questions, please contact your clinic.

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First name

Middle name

Last name

Address information is required.

Date of birth

Legal Sex

Female Male Unknown X

Social Security number

Home phone

Mobile phone

Email address

Verify email address

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Terms & Conditions:

Affirmation:
I hereby affirm that I am the person/patient identified above. I understand that I may be subject to penalties under law for submitting false or misleading information in connection with this request to access MyChart.

Authorization:

By submitting this form I agree to allow Essentia Health to release my personal health information to me via an online MyChart account. I will be able to access information maintained in MyChart for my personal use.

I understand that:

This authorization will be valid for as long as I maintain an active MyChart account.
If I change my mind and no longer want MyChart access, I may let Essentia Health know in writing at any time. This change will become effective no later than the next business day after the date that Essentia Health receives my request and will not apply to information that has already been released before this effective date.
Essentia Health cannot be responsible for the confidentiality of information released to me, and cannot prevent me from releasing the information to another person. At that time, the information is no longer protected by federal and state privacy regulations.
If I am currently an Essentia Health patient and I do not create a MyChart account, I will still be treated and payment, enrollment and eligibility for benefits will not be impacted.
I designate my MyChart account as my preferred method of communication to receive reminders about preventive and follow-up care (excludes scheduled appointment reminders).
As part of this on-line account creation process I will be asked to confirm that I have read and agree to the Essentia Health MyChart Terms and Conditions. I understand that every time I use MyChart I agree to these Terms and Conditions.

By clicking "Agree & Submit" I confirm that I have read and agree to the terms of this authorization. I acknowledge that I am electronically submitting this authorization on my own behalf. I understand that I may be subject to penalties under law for submitting false or misleading information in connection with this authorization.

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Terms & Conditions

Affirmation
I hereby affirm that I am the person/patient identified above. I understand that I may be subject to penalties under law for submitting false or misleading information in connection with this request to access MyChart.

Authorization

I understand that:

This authorization will be valid for as long as I maintain an active MyChart account.
If I change my mind and no longer want MyChart access, I may let Essentia Health know in writing at any time. This change will become effective no later than the next business day after the date that Essentia Health receives my request and will not apply to information that has already been released before this effective date.
Essentia Health cannot be responsible for the confidentiality of information released to me, and cannot prevent me from releasing the information to another person. At that time, the information is no longer protected by federal and state privacy regulations.
If I am currently an Essentia Health patient and I do not create a MyChart account, I will still be treated and payment, enrollment and eligibility for benefits will not be impacted.
I designate my MyChart account as my preferred method of communication to receive reminders about preventive and follow-up care (excludes scheduled appointment reminders).
As part of this on-line account creation process I will be asked to confirm that I have read and agree to the Essentia Health MyChart Terms and Conditions. I understand that every time I use MyChart I agree to these Terms and Conditions.

By clicking "AGREE & SUBMIT" I confirm that I have read and agree to the terms of this authorization. I acknowledge that I am electronically submitting this authorization on my own behalf. I understand that I may be subject to penalties under law for submitting false or misleading information in connection with this authorization.

No patient record found

The information you provided could not be matched with an existing patient record. This means your Name, Address, DOB or Social Security number does not match what Essentia has on file.

Your submission has been forwarded to the MyChart Sign Up team for review. Your submission will be reviewed and if appropriate an activation code will be sent to the email address you provided within 2 business days.

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No patient record found

The information you provided could not be matched with an existing patient record. This means your Name, Address, DOB or Social Security number does not match what Essentia has on file.

Your submission has been forwarded to the MyChart Sign Up team for review. Your submission will be reviewed and if appropriate an activation code will be sent to the email address you provided within 2 business days.

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Oops! Something is not right here...

We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.
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Oops! Something is not right here...

We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.
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Oops! Something is not right here...

There is an existing MyChart account for this person.

From the login page, click "Forgot Username?" or "Forgot Password?" to access this account.
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Oops! Something is not right here...

There is an existing account for this person.

Please contact us directly to restore access to your account.
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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.

Unable to Verify Your Identity

Experian was not able to verify your identity using the information you provided. You can try 3 times within 72 hours to resubmit your information for verification. If the third try is still unsuccessful, you will need to wait 72 hours before you are able to try again.

If you are having issues validating with Experian, email us at MyChartSignUp@EssentiaHealth.org and provide us the email address and name of patient requesting MyChart access.

Download MyChart Access Request Form
.

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Technical difficulties...

We aplogize for the inconvience. We are experiencing technical difficulties while communicating with Experian. Please try again or contact our customer service line for assistance. (888) 868-9292.

To sign up for MyChart, please download and complete an access request form or stop by any Essentia Health clinic location.

Download MyChart Access Request Form
.

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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.

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