MyChart - Sign Up

If you are a Legal Guardian trying to gain access to your child's online medical health records, please fill out this form to request an activation code.

We need some information from you in order to grant you a MyChart account. Once submitted, it could take up to a week for processing and verification. Once approved, 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 us at (501)263-2271.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at (501)263-2271.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at (501)263-2271.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at (501)263-2271.

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First, we need to collect some information about the patient. If you have any questions, please contact us at (501)263-2271.

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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 (501)263-2271.

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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

Date of birth

Legal Sex

Female Male Unknown Other

Last four digits of SSN

Email address

Verify email address

Mobile phone

Home phone

Sign Up

Name

Address

Other Information