Self-Enrollment for My Saint Francis Hospital Health Rec

Self-enrollment is available for Saint Francis Hospital patients who are age 13 or older who don't currently have access to My Saint Francis Hospital Health Rec, which is an online portal where you can view your medical information and connect with your health care team. Complete the form below to start the self-enrollment process.

If you manage the health of a patient, talk to the patient's health care provider during the next visit to receive a personal invitation to My Saint Francis Hospital Health Rec. Self-enrollment is not currently available to caregivers or guardians.

* Indicates a required field.

First name

Last name

Date of birth

Month

Day

Year

Enter the year as 4 digits.

How would you like to verify your account?

Medical Record Number (do not include leading zeros)

Enter your email address

Enter your mobile phone Example: (555) 555-5555

Identity verification