Please Identify Yourself

All fields are required.

MyHealth activation code

Enter your activation code as it appears on your enrollment letter or After Visit Summary®. Your code is not case sensitive.

xxxxx
-
xxxxx
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xxxxx

Please enter a mobile or home phone number that we have on file for you.

xxx-xxx-xxxx
Date of birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy