MyChart - Sign Up

We need information to match to your existing patient record in order to grant you a MyChart account. Once matched, you will receive an email with your activation code and instructions on how to activate your MyChart account. If information entered does not match with your patient record, your request will be sent to customer service for review. If you have any questions, please contact customer service at 501-227-8478.

If requesting proxy access to a minor patient, spouse, or other adult, please complete this form and submit via mail or fax included on form.

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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 1-501-227-8478.

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 1-501-227-8478.

We need some information in order to grant you a MyChart account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, you will see option to complete the activation of your MyChart account by creating a username and password.

If the system is not able to identify your record by matching to demographics entered, you may not have a record with Baptist Health of Arkansas or your information may be different in our system. Contact MyChart Support at 1-501-227-8478 to answer any questions or assist further with activating your account.

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First name

Middle name

Last name

Date of birth

Social Security number

Legal sex

Female Male Unknown

Email address

Verify email address

Mobile phone

In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.

We are checking with a third-party system to verify your identity. This may take several seconds.

In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact your clinic.

These questions are generated by a third-party system to verify your identity.

Sign Up

Name

Address

Other Information

Sign Up

Patient Information

Name

Address

Other Information

Unable to Verify Your Identity

Unable to Verify Your Identity