Please Identify Yourself
Step 1
All fields are required. If you are not the patient, but a family member or caregiver who needs access to this chart, please complete the proxy access form: adult|| child. Please do not use the patient’s activation code. For more information see MyChart Proxy Access. Please submit via fax to 203-688-8155 or email a scanned completed copy to MyChart.eHIM@ynhh.org

No Activation Code?
Request Access Code
If you have any problems email
MyChartSupport@ynhh.org
for assistance
Request Access Code
If you have any problems email
MyChartSupport@ynhh.org
for assistance