Sign Up
Patient Information
If you are a Marshall patient:
Please enter your contact information below to receive access to your own medical record.
Do not use this form to request access to a family member's chart. Please click the following link for additional information on how to request access to a chart which is not your own. How To Obtain Access To A Family Member's Chart
Improperly obtaining access to another patient’s medical records without a valid patient authorization is against State and Federal confidentiality law and is subject to fines and/or imprisonment.
By clicking “submit” you are confirming your identity as the patient stated below.
If you are a Marshall patient:
Please enter your contact information below to receive access to your own medical record.
Do not use this form to request access to a family member's chart. Please click the following link for additional information on how to request access to a chart which is not your own. How To Obtain Access To A Family Member's Chart
Improperly obtaining access to another patient’s medical records without a valid patient authorization is against State and Federal confidentiality law and is subject to fines and/or imprisonment.
By clicking “submit” you are confirming your identity as the patient stated below.
If you are a Marshall patient:
Please enter your contact information below to receive access to your own medical record.
Do not use this form to request access to a family member's chart. Please click the following link for additional information on how to request access to a chart which is not your own. How To Obtain Access To A Family Member's Chart
Improperly obtaining access to another patient’s medical records without a valid patient authorization is against State and Federal confidentiality law and is subject to fines and/or imprisonment.
By clicking “submit” you are confirming your identity as the patient stated below.
If you are a Marshall patient:
Please enter your contact information below to receive access to your own medical record.
Do not use this form to request access to a family member's chart. Please click the following link for additional information on how to request access to a chart which is not your own. How To Obtain Access To A Family Member's Chart
Improperly obtaining access to another patient’s medical records without a valid patient authorization is against State and Federal confidentiality law and is subject to fines and/or imprisonment.
By clicking “submit” you are confirming your identity as the patient stated below.
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.
Unable to Verify Your Identity
We are unable to verify your identity with the third-party system. Please resubmit your request using the signup method Match Yourself with Our Records.
Unable to Verify Your Identity
We are experiencing some technical difficulties while communicating with the third-party verification system. Please contact our customer service line for assistance.
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.
How would you like to verify your identity?
You can use a third-party verification system to verify your identity now and save time at the clinic later.You must be at least 18 years old to use this feature.
Select Skip third-party verification to verify your identity at your next appointment. You'll still need to confirm your contact information using a one-time code on the next page.
You must be at least 12 years old to use this feature.
You may be redirected after a few seconds.