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MyChart ® Epic Systems Corporation

MyChart Sign-up Forms

To request an activation code which will allow you to create your MyChart Username and Password to sign in to MyChart, please complete one of the forms below:

CentraCare Health
CentraCare Health Activation Code Request Form
CentraCare Health Proxy Request Form
Alexandria Clinic
Alexandria Clinic Activation Code Request Form
Alexandria Clinic Proxy Request Form
Central Minnesota Neurosciences
Central Minnesota Neurosciences Activation Code Request Form
Central Minnesota Neurosciences Proxy Request Form
CHI Albany Area Health
CHI Albany Area Health Activation Code Request Form
CHI Albany Area Health Proxy Request Form
CHI St. Gabriel's Health
CHI St. Gabriel's Health Activation Code Request Form
CHI St. Gabriel's Health Proxy Request Form
Douglas County Hospital
Douglas County Hospital Activation Code Request Form
Douglas County Hospital Proxy Request Form
Renville County Hospital and Clinics
Renville County Hospital and Clinics Activation Code Request Form
Renville County Hospital and Clinics Proxy Request Form
Rice Memorial Hospital
Rice Memorial Hospital Activation Code Request Form
Rice Memorial Hospital Proxy Request Form
Tri-County Health Care
Tri-County Health Care Activation Code Request Form
Tri-County Health Care Proxy Request Form
Williams Integracare Clinic
Williams Integracare Clinic Activation Code Request Form
Williams Integracare Clinic Proxy Request Form