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Patient Information
In order to create a MyChart account, we must first gather some information from you to verify your identity. After you submit the requested information, we will confirm your identity within our system. If the information you provide matches our records, you will gain instant access and can then complete the MyChart account setup steps. If the information you provide does not match our records, we will contact you.
If preferred, you can request a MyChart Activation Code in-person at your clinic.
Questions? Contact us at (608) 775-0303 or (800) 362-9567, ext. 50303.
To set up your MyChart account, you must be at least 18 years old. Please complete this form through our third-party verification system. For your security, Gundersen Healthcare cannot view your answers to the questions. If you encounter any issues or have questions while setting up your MyChart account, please contact the MyChart Support team at 608-775-0303 or [email protected].
Indicates a required field
To set up your MyChart account, you must be at least 18 years old. Please complete this form through our third-party verification system. For your security, Gundersen Healthcare cannot view your answers to the questions. If you encounter any issues or have questions while setting up your MyChart account, please contact the MyChart Support team at 608-775-0303 or [email protected].
Indicates a required field
To set up your MyChart account, you must be at least 18 years old. Please complete this form through our third-party verification system. For your security, Gundersen Healthcare cannot view your answers to the questions. If you encounter any issues or have questions while setting up your MyChart account, please contact the MyChart Support team at 608-775-0303 or [email protected].
Indicates a required field
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.
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.
Unable to Verify Your Identity
We are unable to verify your identity using the information provided. Please contact our customer service line for assistance.
Unable to Verify Your Identity
We are experiencing some technical difficulties while communicating with the third-party verification system. Please contact our customer service line for assistance.
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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