Self-Registration

1. To enroll online (if current patient and 18 or older), visit the self-enrollment page.
2. To enroll via a form, download the form here, then mail or fax to the information on the form.
3. To enroll in person, visit your physician's office and follow these steps:
• Provide email address and security question with answer.
• Follow the sign-up steps after receiving an enrollment confirmation email (valid for 90 days).
• Log into the website here or download the app on Apple or Android mobile devices.

Family Member or Dependent Access

• Family member or dependent must be 13 years old or older and willing to agree to provide access by signing the form.
• Family member or guardian will not have full access to the dependent's mystlukes patient portal.