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Patient Information

We need some information from you in order to grant you a myUCLAhealth account. Once submitted, it could take up a week for processing and verification. Once approved, you will receive an email or a letter with your activation code and instructions on how to activate your myUCLAhealth account. If you have any questions, please contact your clinic.

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Follow these steps to sign up for a myUCLAhealth account.

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

If you have any questions, please contact us at (855) 364-7052.

Follow these steps to sign up for a myUCLAhealth account.

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

If you have any questions, please contact us at (855) 364-7052.

We need some information in order to grant you a myUCLAhealth 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 receive an email or text with your activation code and instructions on how to activate your myUCLAhealth account. If you have any questions, please contact your clinic.

Self-sign up is available only for adult patients. If you are requesting proxy access to for your child please contact your clinic.

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Name

First name

Middle name

Last name

Address

Other Information

Date of birth

Home phone

Mobile phone

Legal sex

FemaleMaleUnknownX

UCLA medical record number

What is medical record number?This is a unique ID assigned to you as a UCLA Health patient.. This number helps us quickly identify your medical record. If you do not know your medical record number, please call the Help Desk (855)364-7052 to retrieve it.

Last four digits of SSN

Email address

Verify email address

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 (855) 364-7052.

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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 (855) 364-7052 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 myUCLAhealth signup. Please contact customer service at (855) 364-7052 for help activating your account.

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In order to grant you a myUCLAhealth account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your myUCLAhealth 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.

Unable to Verify Your Identity

We are unable to verify your identity using the information provided. Please present in-person at your next doctor's visit with photo identification to sign up for myUCLAhealth.

For additional details, please contact myUCLAhealth Technical Support line for additional questions: (855) 364-7052.

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Unable to Verify Your Identity

We are experiencing some technical difficulties while communicating with the third-party verification system. Please contact our customer service line for assistance.

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

You may be redirected after a few seconds.