MyChart Account Activation Form

Please provide the information below to verify that you are an existing patient at NYU Langone. Upon locating your patient record, a link to activate your NYU Langone Health MyChart account will be sent to the email address on file.

All fields are required.

Personal Information

Address

By clicking submit, I attest that I am the individual whose information is being submitted to create a NYU Langone Health MyChart account and acknowledge that I will receive message alerts related to this MyChart account. I understand that message and data rates may apply for each text message and that I can text HELP to 69854 for help or STOP to 69854. I understand I can also choose to receive email communication instead of text messages by updating my preferences in my MyChart account at any time.