Sign Up
Patient information
This form should be completed to request a Hurley MyChart account for yourself.
To protect the privacy and identity of our patients, Hurley and our associated clinics use Experian (a third-party verification system) to confirm your identity. The content of these questions is based on historical information from Experian. This information is only used for third party identification verification purposes, and is not shared with Hurley or any other entities.
Once your identity is verified, you will be able to immediately activate your MyChart account. If you have any questions, or encounter any issues with this process, please call customer service at 810-262-9255 or e-mail customerbilling@hurleymc.com
* *If you are attempting to gain proxy access to another family member’s account, do NOT use this form to request that. You must contact their provider's office and follow their appropriate authorization process to gain such access.