Choose a Signup Method

In order to set up your MyChart account, we need to confirm your identity using a secure third-party verification system. Once verified, we’ll prompt you to create your account. Please note a previous or scheduled visit with an Atlantic Health System doctor’s office or medical center is required to obtain an Atlantic Health MyChart account.

Name

First name

Error: First name is required.

Middle name

Error: Middle name is required.

Last name

Error: Last name is required.

Address

Address information is required.

Address

City

State

Error: State entered is invalid.

Zip

Error: ZIP entered is invalid.

County

Error: County entered is invalid.

Country

Error: Country entered is invalid.

Error: Address information is required.

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

__content__

Other Information

Date of birth

MM/DD/YYYY

Error: Date of birth is required.

Error: Date of birth is invalid.

Error: Date of birth cannot be a future date.

Email address

Error: Email address is required.

Error: Email address is invalid.

Verify email address

Error: Email address is required.

Error: Email addresses do not match.

Gender

Male Female

Error: Gender is required.

Error: Gender is invalid.

Home phone

NNN-NNN-NNNN

Error: Home phone number is required.

Error: Home phone number is invalid.

Social Security number

NNN-NN-NNNN

Error: Social Security number is required.

Error: Social Security number is invalid.

Mobile phone

NNN-NNN-NNNN

Error: Mobile phone number is required.

Error: Mobile phone number is invalid.

Work phone

NNN-NNN-NNNN

Error: Work phone number is required.

Error: Work phone number is invalid.

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Submit Next

Request Submitted

We have received your request for a MyChart account. Please allow up to five business days for processing and verification. We’ll let you know the status of your request, and if verified, you’ll get an email with your personalized activation code and instructions on how to activate your account. If you have additional questions, please RequestTechnical Support

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Request Submitted

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Request Submitted

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Oops! Something is not right here...

We are temporarily experiencing technical difficulties while communicating with our verification system. Please try again in a few minutes or RequestTechnical Support

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Oops! Something is not right here...

We are temporarily experiencing technical difficulties while communicating with our verification system. Please try again in a few minutes or RequestTechnical Support

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Oops! Something is not right here...

There is an existing account for this person.

From the login page, click "Forgot MyChart Username?" or "Forgot Password?" to access this account.

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We are checking with a third-party system to verify your identity. This may take several seconds.

Unable to Verify Your Identity

We are unable to verify your identity based on the information entered. You can provide positive identification at your next appointment or at any Atlantic Health System registration area. If you feel you are receiving this message in error, you can also submit a Technical Support Request

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We are unable to verify your identity based on the information entered. You can provide positive identification at your next appointment or at any Atlantic Health System registration area. If you feel you are receiving this message in error, you can also submit a Technical Support Request

We are temporarily experiencing technical difficulties while communicating with our verification system. Please try again in a few minutes or RequestTechnical Support

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These questions are generated by a third-party system to verify your identity.