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Register for MyChart

Your unique MyChart activation code can be generated in three ways:

- by calling the MyChart Response Team at (805) 898-3188

- by registering online using the form below

- by stopping in any of our sites in-person and requesting an activation code

MyChart requires that you provide an active Email account upon registration.  This will help make sure that you receive notifications when new information is posted to MyChart.  This is important since Sansum Clinic providers use MyChart to send certain test results and other messages.

If you have already completed the registration process for MyChart and are having trouble logging in or using MyChart, please contact:

Sansum Clinic, Health Information Services

317 W. Pueblo Street

(805) 898-3188 mychart@sansumclinic.org



* Indicates required information
Name (first, mi, last) * 
Date of Birth (mm/dd/yyyy) * 
Zip Code (XXXXX) * 
Phone (xxx)xxx-xxxx * 
Email Address * 
Street Address * 
City * 
State * 
Gender * 
Last 4 digits of SS# (XXXX) 
 

If you have any concerns regarding supplying this information electronically, please feel free to contact Sansum Clinic, Health Information Services at (805) 898-3188.
Hours:
Monday – Thursday 9:00 am - 12:00 pm and 1:00 - 4:00 pm
Friday 9:00 am - 12:00 pm

Note:  MyChart access to the accounts of family members requires proof of legal guardianship/parental relationship. If you are seeking proxy access for a child or adult under your care, please visit the Release of Information (ROI) department in-person in the lower level of our clinic at 317 W. Pueblo Street.

Due to California and Federal patient privacy laws, patients 12-17 years old will have limited access to MyChart.
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