Please Identify Yourself

Step 1 of 3

All fields are required.

myUCLAhealth Activation Code

Enter your Activation Code. Your code may be found on your hospital discharge instructions, billing statement or printouts from your doctor's office.

xxxxx
-
xxxxx
-
xxxxx
Date of Birth

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

mm
/
dd
/
yyyy

Please enter your medical record number(MRN). Your MRN may be found on your hospital discharge instructions, billing statement or printout from your doctor's office. If you do not know your MRN, please call the Help Desk (855) 364-7052 for assistance.