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MyChart Activation Code Form

Simply complete the form to request your Norton Healthcare MyChart activation code. 

In order to process your request:

  • You must be a current Norton Healthcare patient
  • The information you enter must match the data you have on file with Norton Healthcare

Once we receive your form, we will email you a secure access code and instructions on how to activate your MyChart account.  The activation code will allow you to log on to MyChart and create your own unique user ID and password.

All information you provide is protected via secure servers and is held as strictly confidential.

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