Sign Up

To sign up for One Chart | Patient, we'll need to collect and confirm some information about you.


  • • First we will collect basic demographic information, like your name, current address, date of birth, etc.

  • • Then we will confirm your identity by testing your knowledge about things you should know, like past addresses

Once your identity is confirmed, you will be prompted to create a username and password to sign in.

If you need help with this process, please call 402.559.0700.

 Indicates a required field

Name

Address

Other Information

Legal sex