Sign Up

There were some errors found in the form. Fix these errors and submit again.

Patient information

We need some information from you in order to grant you a MyLeon Chart account please complete the form below. Once you have completed this form and you have created a user name and password proceed to the main page and from the Menu click “Insurance Summary” to add your insurance information. You can also upload a copy of your insurance card.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your contact information.
Choose a username and password.

If you have any questions, please contact us at 305-642-5366.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 305-642-5366.

Follow these steps to sign up for a MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at 305-642-5366.

Indicates a required field.

Error: We are experiencing technical difficulties at this time. Please try again.

Name

First name

Middle name

Last name

Address

Other information

Date of birth

Email address

Verify email address

Social Security number

Legal sex

FemaleMaleUnknownOther

Home phone

Mobile phone

Thank you - your request has been sent to the clinic. You will receive an activation code in your mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service.

Back to Login Page

We were unable to verify your information, so your request has been sent to the clinic. You will receive an activation code by mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service at 305-642-5366.

Back to Login Page

We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.

Back to Login Page

We were unable to verify your identity using the information provided. Please contact customer service at 305-642-5366 for assistance.

Back to Login Page

We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.

Back to Login Page

There is an existing account for this person.

From the login page, click "Forgot username?" or "Forgot password?" to access this account.

Back to Login Page

There is an existing account for this person.

Please contact us directly to restore access to your account.

Back to Login Page

Ask the patient to resend the invitation.

We are experiencing technical difficulties at this time. Please try again or contact our customer service line for assistance.

Unable to complete MyChart signup. Please contact customer service at 305-642-5366 for help activating your account.

Back to Login Page

You will be redirected in a few seconds.