MyChart - Choose a Signup Method

By completing this form I affirm that:

I am or plan to be a patient at the Medical University of South Carolina.

I am the patient identified below.

I am at least 16 years old.

I am requesting access to my own Protected Health Information.

Please allow up to two business days for processing.

If you have an existing account, and you would like to grant or request access to another person's account, you may select a link below (you will be prompted to login):

Request access to a minor's record (Under 16 years old)

Give another adult (16 years old or older) access to my record

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

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

Date of birth

MM/DD/YYYY

Gender

Male Female

Email address

Verify email address

Last four digits of SSN

NNNN

Home phone

NNN-NNN-NNNN

Mobile phone

NNN-NNN-NNNN

Finally, as a spam prevention measure, complete the CAPTCHA below.

This field is machine-generated content. Please ignore.

Choose a Signup Method

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