myPHR Member Registration

^myPHR.ca ^{My Personal Health Record}

^{(a
not-for-profit organization)}

^{"when
every second counts"}

Your Privacy Is Our #1 Priority!

Steps to create a Personal Health Record:

Create an account

Log into member's area

After you enter your information and press "submit" you will be assigned a 12 digit membership number.

Print your own wallet card online, print your own records to take to your doctors and make sure your emergency contacts also have your login information

Note: You do not have to enter all your information at once, only your name and address is required initially. You can log back in and add and update your information online at any time.

NOTE: All fields with an asterisk * are required.

User name:*
should be one word 5-12 characters long

Password:*
should be one word 5-12 characters long

Re-enter password:*

E-mail address:*

First Name*

Last Name*

If You Forget Your USERNAME (we will contact you and ask you for your security answer)
Security question: *
Your answer:*
(Four characters or more. Make sure your answer is memorable for you but hard for others to guess!)

Yes, I have read and agree with member agreement

All information will be kept confidential. Privacy is our number one priority!

The date, time and your computer's IP address 38.107.191.88 will be recorded when you click submit.