***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.

Indicates a required field

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 1-866-98-CHART (24278).

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 1-866-98-CHART (24278).

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 1-866-98-CHART (24278).

First name

Middle name

Last name

Medical record number

Date of birth

Last four digits of SSN

Home phone/Mobile phone

Mobile phone

Email address

Verify email address

Gender

Female Male Unknown

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.

Sign Up

Name

Address

Other Information

Sign Up

Patient Information

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

Name

Address

Other Information