Activation Code Request

Welcome!  Carilion Clinic is pleased to offer this online request service for your MyChart activation code. Your activation code will be your key to your personal and secure electronic medical record.  Please contact your provider if you would like to request MyChart access to a family member’s record.

Please complete all fields.

Your Activation Code will be sent to you through postal mail within 1 business day.  Should we have any questions regarding your submission, we will contact you via email or the primary phone number you have submitted.

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