MyChart - Sign Up

If you have been seen by a Care Connection nurse practitioner or have recently visited the MyHealth Everett Clinic, please fill out the form below. Once submitted, you will be able to create a username and password for your new MyChart account. If you have any questions or experience any issues, please contact our MyChart team at 844-812-7573.

If you are a Molina Healthcare member that is wishing to:

- Access your Molina Member ID card
- Use the Nurse Advice Line
- Find, change, or contact your primary care doctor
- View your health records, benefits, and eligibility

Please download the Molina HealthInHand app on your phone or go to https://m.member.molinahealthcare.com/

Indicates a required field

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 844-812-7573.

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 844-812-7573.

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 844-812-7573.

We need to collect some information about the patient in order to schedule this appointment.

First name

Middle name

Last name

Date of birth

Legal sex

Female Male Unknown Nonbinary X

Last four digits of SSN

Email address

Verify email address

Home phone

Sign Up

Name

Address

Other Information

Sign Up

Patient Information

Name

Address

Other Information