Please Identify Yourself

Sign Up With An Activation Code

If you have an Activation Code, use the form below.
If you do not have an Activation Code, sign up online.

Step 1

All fields are required.

MyUCSDChart activation code

Enter your activation code as it appears on your enrollment letter or After Visit Summary®. Your code is not case sensitive.

xxxxx
-
xxxxx

Please enter the last 4 digits of your Social Security number.

nnnn
Date of birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy