We need some information from you in order to grant you a MyChart account. Once submitted, it could take up a week for processing and verification. Once 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 your medical office.
Please note that due to state regulations, users under the age of thirteen cannot create a myACPNY account. Please have a parent or guardian request proxy access through their myACPNY account, or by filling out this form with their own information and then requesting proxy access from that account once created.
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We need some information about you in order for you to access your account. Please complete the information below.