MyChart - Choose a Signup Method

A new MyLVHN account will become part of your personal legal electronic medical record, or the legal electronic medical record of the patient for whom you are signing up.

We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, you will receive an email or a letter with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact your clinic.

Indicates a required field

Please only use your legal name, or the patient’s legal name. No nicknames. Do not hyphenate last name. Instead, please use the additional last name box.

First name

Legal name, do not use nicknames

Middle initial

Enter middle name if utilized as part of the legal name

Last name

If a hyphenated or multiple last name, enter the second last name below

Suffix

Please use USPS abbreviations (e.g. St for Street, N for North, etc.).

Address information is required.

Address

City

State

Zip

County

Country

Address	City	State	Zip	County	Country
__Street__	__City__	__State.Title__	__Zip__	__County.Title__	__Country.Title__

Date of birth

MM/DD/YYYY

Legal Sex

Female Male Unknown Nonbinary X

Contact phone

NNN-NNN-NNNN

Contact phone (additional)

NNN-NNN-NNNN

Email address

Verify email address

Social Security number

NNN-NN-NNNN

Medical record number

A new MyLVHN account request only needs to be submitted once. If you are experiencing technical issues, please call our help desk at 844-4MY-LVHN for assistance.

Choose a Signup Method

Request Submitted

Request Submitted

Request Submitted

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