Please Identify Yourself

Step 1 of 3

All fields are required.

MyNortonChart Activation Code

Enter your activation code given to you by Norton Healthcare (your code is not case sensitive). You will not need to use this code again after the signup process. If you do not have an activation code, click on the “Create Account” button to the right.

xxxxx
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xxxxx
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xxxxx

Please enter the last 4 digits of your Social Security Number.

nnnn
Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy