Inova MyChart Verification Support for COVID-19 Tests and Vaccine Appointments - Inova

Inova MyChart Verification Support for COVID-19 Tests and Vaccine Appointments

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If you are experience issues verifying your identity as you are attempting to sign up for Inova MyChart specifically related to scheduling for COVID-19 tests or vaccinations, please complete the following information and an Inova representative will contact you to help establish your account. 

If you are an existing Inova or Valley Health patient, please contact your doctor’s office or hospital registration desk to verify your identity and obtain a MyChart Activation Code.
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First Name:
Middle Name:
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Last Name:
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Address 1:
Address 2:
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City:
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State:
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Zip:
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Gender:
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Date of Birth:

mm/dd/yyyy
Last 4 digits of your SSN#:
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Email:
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What can we help you with?
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Best phone number to reach you:

555-555-5555
Alternate Phone:

555-555-5555
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Best day of the week to reach you:
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Best time of day to reach you:
Security Code
Type Security Code