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Welcome to the henry ford health patient portal, where you will find all of your health information in one place You will need your login credentials (username and password) for the authentication process. Mychart is conveniently available on both your computer and mobile phone.

This form should be completed to request a henry ford mychart account for yourself Make sure you have a henry ford mychart (patient portal) account created You must be at least 18 years old to complete online verification

Do not use this form to activate another family member’s account

Please complete the form below. Save time by signing in and using your insurance information on file Enter the guarantor id or account # from your statement, and the system will confirm it can be paid through pay as guest.

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