MyChart - Sign Up

Welcome to the Kettering Health MyChart account registration form. Please provide all information as required below to grant you access to your personal Kettering Health MyChart account. Once approved, you will be prompted to create a username and password to complete the activation process.

Before you continue ...

Have you have previously activated your MyChart account and do not remember your username or password? You may recover your username or password by clicking the links below or calling the Kettering MyChart help desk at (937)384-4893. Forgot MyChart Username | Forgot Password

Are you requesting MyChart access for a family member? Requesting MyChart access on behalf of another adult or minor family member is not permitted through this method. As a family member or parent/guardian, you may contact the patient’s doctor’s office or hospital registration to request Proxy Access to their MyChart account. To learn more about Proxy Access, click here.

Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at (937)384-4893.

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Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at (937)384-4893.

Indicates a required field

Follow these steps to sign up for a MyChart account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at (937)384-4893.

Indicates a required field

First, we need to collect some information about the patient. If you have any questions, please contact us at (937)384-4893.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at (937)384-4893.

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We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.

First name

Middle name

Last name

Date of birth

Last four digits of SSN

Legal Sex

Female Male Unknown

Home phone

Email address

Verify email address

Mobile phone

I hereby affirm that I am the patient identified above, am at least 18 years old, and am requesting access to my own Protected Health Information. I understand that this grants me access only to information directly associated with my personal medical record. I may be subject to penalties under law for submitting false or misleading information related to this access to MyChart.

If the submitted information does not match your KHN electronic medical record, you will receive an email with further instructions to complete the activation process. By submitting this information, you grant KHN permission to contact you by email for this specific purpose. Your information will not be used nor shared without your consent.

Sign Up

Name

Address

Other Information

Sign Up

Name

Address

Other Information

Unable to Verify Your Identity

Unable to Verify Your Identity