Report MyChart Issue

Please use the form below to report a MyChart issue to our IT team. Thank you!

If you are experiencing a medical emergency, please call 911.

MyChart Issue Reporting Form

***Note: If you need immediate assistance regarding an appointment, medical records, or lab results, please call one of our clinics directly.

Please complete all required fields below and click Submit when done. A member of our MyChart support team will reach out to you within 10 business days (please note that multiple or repeated submissions may cause unnecessary delays in response times).


Enter patient's first name.

Enter patient's last name.

Enter patient's email address that is associated with their MyChart account.

Enter patient's primary phone number.

Please enter the patient's birthdate in mm/dd/yyyy form.

Enter the last name of the patient's Primary Care Provider (PCP).


Please provide a description of the problem that the patient is experiencing with MyChart. Please include any error messages - you may provide screen shots of errors in the 'Supporting Documents' section, if available.

You may upload a supporting document related to the MyChart issue you are reporting, for example, a screen shot of an error you are receiving.