MyChart - Registration

MyChart Access Request

Allina Health and affiliated partners are located in Minnesota and western Wisconsin.

To sign up for your individual MyChart account, please fill out the information below and click "send". The email address you provide must match an email address in your electronic health record. If we have problems validating your request, you may receive a letter requesting more information. The information is confidential and will be processed through secure Internet servers.

Please be sure that the email address you have is confidential and secure and can be viewed only by you. This will help protect your personal health information.

After receiving your completed form, we will send instructions and an activation code to your email address. Follow the instructions to create a confidential MyChart user ID and password that you will use to view information in your MyChart account.

Please read the MyChart Terms and Conditions.

* indicates a required field.

Must be registered (at Allina Health or an affiliated partner) with a valid and current email address to process your request