myWakeHealth - Sign Up

We need some information from you in order to grant you a myWakeHealth account. Once submitted, it could take 7 to 10 days for processing and verification. Once approved, you will receive a letter with your activation code and instructions on how to activate your myWakeHealth account. If you have any questions, please contact your clinic.

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Follow these steps to sign up for a myWakeHealth account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at 855-560-5111.

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Follow these steps to sign up for a myWakeHealth account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 855-560-5111.

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We need some information in order to grant you a myWakeHealth account. Enter your demographics here and in the next step we will verify your identity using questions from a third-party verification system. Once verified, you will receive an email or a letter with your activation code and instructions on how to activate your myWakeHealth account. If you have any questions, please contact your clinic.

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First, we need to collect some information about the patient. If you have any questions, please contact us at 855-560-5111.

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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 855-560-5111.

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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

Legal Sex

Female Male Unknown

Last four digits of SSN

Home phone

Mobile phone

Email address

Verify email address

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

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

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

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

Sign Up

Name

Address

Other Information

Sign Up

Name

Address

Other Information

Unable to Verify Your Identity

Unable to Verify Your Identity