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Patient Information

***Note: No Proxy Access will be given using this request route.

If you are a parent or caregiver and you need access to your children, you will need to complete a proxy request form. You can contact the Health Information Department (1-304-598-4109) for details on how to complete that form or you can at the clinic during their next visit.. Please keep in mind that you need to be a registered patient to request access.

We need some information from you in order to grant you a MyWVUChart account. If the information submitted matches the information we have on file, then you would be directed to set up your account immediately. If not then it could take a few days to process your request. Once approved, you will receive an email with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact the HELP desk at 1-866-982-4278.

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Follow these steps to sign up for a MyWVUChart account.

Enter your personal information.
Verify your contact information.
Choose a username and password.

If you have any questions, please contact us at 1-866-982-4278.

Follow these steps to sign up for a MyWVUChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 1-866-982-4278.

Follow these steps to sign up for a MyWVUChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 1-866-982-4278.

Indicates a required field.

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Name

First name

Middle name

Last name

Address

Other Information

Medical record number

What is a medical record number?This is the number assigned to you when you registered in the clinic. This number helps staff in the clinics to quickly identify your medical record. If you do not know your medical record number, you may call the registration desk.

Date of birth

Last four digits of SSN

Home phone/Mobile phone

Mobile phone

Email address

Verify email address

Gender

FemaleMaleUnknown

By selecting the submit button, I certify that I am the above named individual and that signature is required to validate this authorization. I understand that falsification of identity on this form constitutes as fraud. I certify under the penalties of perjury that the information on this form is true, accurate and complete, to the best of my knowledge. I understand that I may be subject to civil penalties or criminal prosecution for fraudulent material contained herein.

Thank you - your request has been sent to the clinic. You will receive an activation code in your mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service.

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We were unable to verify your information, so your request has been sent to the clinic. You will receive an activation code by mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service at 1-866-982-4278.

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We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.

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We were unable to verify your identity using the information provided. Please contact customer service at 1-866-982-4278 for assistance.

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We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.

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There is an existing account for this person.

From the login page, click "Forgot username?" or "Forgot password?" to access this account.

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There is an existing account for this person.

Please contact us directly to restore access to your account.

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Ask the patient to resend the invitation.

We are experiencing technical difficulties at this time. Please try again or contact our customer service line for assistance.

Unable to complete MyWVUChart signup. Please contact customer service at 1-866-982-4278 for help activating your account.

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