Request a UW Health MyChart Account

Complete this form to request a personal MyChart Account. If the information you provide does not match our records we will contact you. Otherwise, a personal Activation Code will be mailed to your home.
You may also receive an Activation Code in-person at your clinic. Learn more

Please note that most e-mail is not encrypted, and therefore not absolutely private. We will not send any information about your health via e-mail - we will use e-mail only to clarify your MyChart application.

Parents, Guardians and Care Givers - Please click here for information about requesting access to other accounts.

Name
Male Female
Address
Email

About UW Health

UW Health is comprised of the academic health care entities of the University of Wisconsin-Madison: UW Medical Foundation, UW Hospital and Clinics and UW School of Medicine and Public Health. UW Health is also home to American Family Children's Hospital and UW Carbone Cancer Center. Our expert doctors are at the forefront of research, developing new treatments and training the next generation of physicians. Together with other health care professionals, they serve the health needs of Wisconsin, and beyond.

Eligibility

You may request an account if you are age 18 or older.

Parents, Guardians and Care Givers

For information about requesting access to other accounts, please click here.

Before requesting an account...

Please read the MyChart Terms and Conditions of Use. You may also learn more on the FAQs page.

Steps

  1. Complete the form to the left and click "Submit Request."
  2. A personal Activation Code will be mailed to your address on file.
  3. When you receive your Activation Code, return to this Web site and complete the steps to activate your account.