MyChart - Sign Up

We need some information to grant you a MyChart account. After you submit this request, it may take up to a week for processing and verification. When you're 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 763-581-7899.

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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 763-581-7899.

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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 763-581-7899.

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Access your health information by creating a new MyChart account. Complete the form below and answer a few questions to verify your identity. Let's get started!

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First, we need to collect some information about the patient. If you have any questions, please contact us at 763-581-7899.

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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 763-581-7899.

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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 Nonbinary X

Home phone

Email address

Verify email address

You understand that by clicking on the Next button immediately following this notice, you are providing written instructions to North Memorial Health and Maple Grove Hospital under the Fair Credit Reporting Act authorizing North Memorial Health and Maple Grove Hospital to obtain information from your personal credit profile or other information from Experian Health. You authorize North Memorial Health and Maple Grove Hospital to obtain such information solely to confirm your identity.

Sign Up

Name

Address

Other Information

Sign Up

Name

Address

Other Information

Unable to Verify Your Identity

Unable to Verify Your Identity