MyChart - Choose a Signup Method

Please do not use either of the methods below if you already have a MyChart account. If you have forgotten your user name or password, these can be retrieved by using the "Forgot User Name?" and "Forgot Password?" links on the MyChart login page.

Already have an activation code? Click here.

Otherwise, please choose one of the following options to begin the signup process. This process can take up to seven days. An activation code will either be emailed or mailed to you, depending on whether the information submitted matches the information on file.

If you would prefer to request an account over the phone or otherwise need assistance, please call the MyChart Help Desk at (805) 898-3333, Monday-Friday from 8:00 AM-5:00 PM.

Match Yourself with Our Records

Match yourself with information on file at Sansum Clinic.

Verify Identity with a Third Party

Answer questions from a third-party identity verification system.

We need some information from you in order to grant you a MyChart account. Once submitted, it could take up 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 your clinic.

Indicates a required field

We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, 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 your clinic.

Indicates a required field

First name

Middle name

Last name

Address information is required.

Address

City

State

Zip

County

Country

Close

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

Date of birth

MM/DD/YYYY

Home phone

NNN-NNN-NNNN

Email address

Verify email address

Last four digits of SSN (NOT required)

Providing this information is not required to in order to request a MyChart account, but doing so may help expedite your request.

Medical record number (NOT required)

Providing this information is not required to in order to request a MyChart account, but doing so may help expedite your request.

As a spam prevention measure, complete the CAPTCHA below.

This field is machine-generated content. Please ignore.

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.

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

Choose a Signup Method

Request Submitted

Request Submitted

Request Submitted

Oops! Something is not right here...

Oops! Something is not right here...

Oops! Something is not right here...

Unable to Verify Your Identity

Unable to Verify Your Identity