Please Identify Yourself

Step 1 of 3

All fields are required.

MyChart Activation Code

Enter your MyChart Activation Code. If you have a previously issued code that is 15 characters rather than 10, please contact the MyChart Help Desk at 805-898-3333.

xxxxx
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xxxxx
Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
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yyyy

Please enter your ZIP code.

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