Please Identify Yourself

Step 1 of 3

All fields are required.

myccLink Activation Code

Enter your activation code as it appears on your activation letter or in the after visit summary from your provider’s office (your code is not case sensitive). You will not need to use this code after you complete the signup process.

xxxxx
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xxxxx
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xxxxx
Date of Birth

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

mm
/
dd
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yyyy
Social Security Number

Enter your Social Security number in the format shown.If you don't have one, contact myccLink support at 1-844-622-5465 for assistance.

xxx
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xx
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xxxx