MyChart - Sign Up

Thank you for your interest in MyChart. Please fill out the form to request an activation code. Once verification is complete, you will receive an email with instructions on how to activate your account. If you did not receive an email, please contact MyChart Support at 808-691-5000 or email us at mychartsupport@queens.org.

Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at 808-691-5000.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 808-691-5000.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 808-691-5000.

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First, we need to collect some information about the patient. If you have any questions, please contact us at 808-691-5000.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 808-691-5000.

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We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.

First name

Middle name

Last name

Home phone

Email address

Verify email address

Date of birth

Last four digits of SSN

Mobile phone

Work phone

Medical record number

Legal Sex

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Name

Address

Other Information