MyChart - Sign Up

We need some information to grant you a MyChart account. After you submit this request, it may take up to a week for processing and verification. When you're approved, you will receive an email or a letter with your activation code and instructions on how to activate your MyChart account. If you have any questions, please contact us at 701.780.6500.

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 701.780.6500.

This form should only be completed if you are requesting your own MyChart account. A patient must be at least 14 years of age to create a MyChart account. To gain access to another patient's MyChart account, please submit the Proxy Request Form. A proxy request can also be submitted electronically for your child if you already have your own MyChart account by clicking here (you will need to login to complete the form).

Follow these steps to sign up for a MyChart account:

Enter your personal information. (Please include your medical record number if known.)

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at 701.780.6500.

Indicates a required field

A patient must be at least 14 years of age to create a MyChart account.
If the patient is under the age of 14, you will need to request proxy access to the child. Proxy request can be submitted by the Proxy Request Form or it can be submitted electronically by the parent/guardian logging into their MyChart account, MyChart Menu, scrolling down to "Proxy Access" heading, and selecting "Request Minor Proxy Access".

First name

Middle name

Last name

Date of birth

Legal sex

Female Male Unknown

Medical record number

Last four digits of SSN

Email address

Verify email address

Mobile phone

Home phone

Have an Activation Code?
Create Your Account

Need access to a family member's record?
Proxy Access Form

In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact us at 701-780-6500.

We are checking with a third-party system to verify your identity. This may take several seconds.

In order to grant you a MyChart account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyChart account. If you have any questions, please contact us at 701-780-6500.

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

How would you like to verify your identity?

You can use a third-party verification system to verify your identity now and save time at the clinic later.

Select Skip third-party verification to verify your identity at your next appointment. You'll still need to confirm your contact information using a one-time code on the next page.

Sign Up

Name

Address

Other Information

Have an Activation Code?
Create Your Account

Need access to a family member's record?
Proxy Access Form

How would you like to verify your identity?

Sign Up

Patient Information

Name

Address

Other Information

Have an Activation Code? Create Your Account

Need access to a family member's record? Proxy Access Form

Unable to Verify Your Identity

Unable to Verify Your Identity

How would you like to verify your identity?

Have an Activation Code?
Create Your Account

Need access to a family member's record?
Proxy Access Form