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Please Identify Yourself

Step 1 of 3 All fields are required.



myUCLAhealth Activation Code
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xxxxx
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xxxxx

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

Date of Birth
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dd
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yyyy

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

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.

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