MyBellinHealth - Sign Up

Please follow the steps to set up your user ID, password and security questions to complete your activation. If you have any questions, please contact the MyBellinHealth help desk by calling 888-899-9114.

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Your privacy is important to us, so we do not require a full social security number. However we will ask you a few questions to confirm your identity.

Follow these steps to sign up for a MyBellinHealth account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at 877-259-6180.

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Follow these steps to sign up for a MyBellinHealth account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 877-259-6180.

Indicates a required field

Once verified, please follow the steps to set up your user ID, password and security questions to complete your activation. If you have any questions, please contact the MyBellinHealth help desk by calling 888-899-9114.

Indicates a required field
Your privacy is important to us, so we do not require a full social security number. However we will ask you a few questions to confirm your identity.

First, we need to collect some information about the patient. If you have any questions, please contact us at 877-259-6180.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 877-259-6180.

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We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.

First name

Middle name

Last name

Date of birth

Legal Sex

Female Male Unknown Other

Last four digits of SSN

Email address

Verify email address

Home phone

Mobile phone

In order to grant you a MyBellinHealth account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyBellinHealth account. If you have any questions, please contact your clinic.

We are checking with a third-party system to verify your identity. This may take several seconds.

In order to grant you a MyBellinHealth account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your MyBellinHealth account. If you have any questions, please contact your clinic.

These questions are generated by a third-party system to verify your identity.

Sign Up

Name

Address

Other Information

Sign Up

Name

Address

Other Information

Unable to Verify Your Identity

Unable to Verify Your Identity