Sign Up

You must be 18 years or older and have been seen at a Hawaii Pacific Health clinic or hospital in order to sign up for a Hawaii Pacific Health MyChart account.

If you already have a Hawaii Pacific Health MyChart account, click to Recover Your ID or Reset Password.

If you are a parent requesting access to your child’s MyChart account, complete the Child Proxy Access Form and return it to your child's physician’s office. If you are requesting access to a family member’s MyChart account who is 18 years of age or older, you and your family member will need to complete the Adult Proxy Access Form and return it to his/her physician’s office for processing.

If you are 18 or older and wish to sign up for a Hawaii Pacific Health MyChart account, please fill out the form below. Once verification is complete, you will receive an email containing a link to an activation code and instructions on how to activate your account.

 Indicates a required field

Name

Address

Other information

Legal sex
As a spam prevention measure, complete the CAPTCHA below.

By clicking the Submit button, I hereby affirm that I am the patient identified above and have not submitted false or misleading information in this application to access MyChart service.