Name: | DOB: | MRN: | PCP:

Activation Code Request

Welcome! Hennepin County Medical Center and our Affiliates are pleased to offer this online request service for your MyChart activation code. Your activation code will be your key to your personal and secure electronic medical record. Please fill out your first name, last name, DOB, Complete SSN, and email, as they are required.

If you are requesting MyChart access for anyone besides yourself please Click Here.

We will e-mail your activation code to the e-mail address above after validating your submission with your HCMC patient information. Should we have any questions regarding your submission, we will contact you via the home phone number or e-mail address you have submitted.