Step 1 of 3
All fields are required.
Enter your Activation Code as it appears on your enrollment letter (your code is not case sensitive). You will not need to use this code after you complete the signup process. No Activation Code? No Problem. Sign Up Online
What is a medical record number?
This is the number assigned to you when you registered in the clinic. This number helps staff in the clinics to quickly identify your medical record. If you do not know your medical record number, you may call customer support at 535-7725 (Oahu), 246-1663 (Kauai), or 1-877-228-1894 (toll free).
Please enter your medical record number.
Enter your date of birth in the format shown, using 4 digits for the year.