MyChart - Schedule an Appointment

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Patient Information

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Patient

First Name

Middle Name

Last Name

Sex

Male Female

Social Security number

Date of Birth

Preferred phone

Address

Address line 2

City

State

ZIP Code

Insurance Information

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Insurance

Insurance Name

Verification

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Error: First name is required.

Error: Middle name is required.

Error: Last name is required.

Error: Name contains invalid characters.

Error: Spouse's last name is required.

Error: Spouse's last name first is required.

Error: Last name prefix is required.

Error: Spouse's last name prefix is required.

Error: Name suffix is required.

Error: Given name initials are required.

Error: Date of birth is required.

Error: Date of birth is invalid.

Error: Date of birth must be in the past.

Error: Sex is required.

Error: Email address is required.

Error: Email address is invalid.

Error: Home phone is required.

Error: Phone number is invalid.

Error: Mobile phone is required.

Error: Phone number is invalid.

Error: Work phone is required.

Error: Phone number is invalid.

Error: Address is required.

Error: City is required.

Error: County is required.

Error: Please enter a county.

Error: District is required.

Error: Please enter a district.

Error: House number is required.

Error: State is required.

Error: Please enter a state.

Error: ZIP code is required.

Error: Zip code is invalid.

Error: Country is required.

Error: Please enter a country.

Error: Social Security number is required.

Error: Social Security number is invalid. The correct format is ###-##-####.

Error: Social Security number is required.

Error: Insurance is required.

Error: Insurance name is required.

Error: Member ID is required.

Error: Subscriber ID is required.

Error: Subscriber name is required.

Error: Subscriber date of birth is required.

Error: Subscriber date of birth is invalid.

Error: Subscriber date of birth must be in the past.

Error: Group number is required.

Error: Must be exactly 4 characters.

Error: Cannot exceed 18 characters

Error: Cannot exceed 20 characters

Error: Cannot exceed 25 characters

Error: Cannot exceed 40 characters

Error: Cannot exceed 50 characters

Error: Something went wrong while processing your request. Please check your information for any obvious errors and try submitting it again. If that doesn't work, contact us for help.

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Error: Your username must be between @MYCHART@MINLEN@ and @MYCHART@MAXLEN@ characters.

Error: Your username must have at least 3 characters.

Error: Your username cannot contain any spaces or symbols other than a period (.), hyphen (-), underscore (_), or the at symbol (@).

Error: That username is in use already.

Error: Your password must contain at least one letter and one number.

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If you fear you have a serious, life-threatening illness or injury, go to the closest emergency room, or call 911.

Emergency situations can include:

• Difficulty breathing.
• Major trauma.
• Lost consciousness.
• Altered mental state.
• Head injury.
• Serious abdominal pain.
• Suicidal thoughts or actions.
• Chest pain.
• Stroke.
• Uncontrollable bleeding.

To schedule a same-day or urgent care appointment, follow the steps below. You will be prompted to log in to MyChart. If you do not have a MyChart account, you have two options:

• Create a MyChart account if you have been a patient at Salem Health or Salem Clinic before. You can request a MyChart activation code for a new account by clicking here. MyChart gives you many benefits as a patient, and having an account will make scheduling future appointments faster and easier. After you create your account, return to this page and complete the steps below.
• Schedule an appointment as a guest by proceeding through the steps below. Please be sure that all the patient information you enter is accurate.

MyChart Frequently Asked Questions
MyChart Policies
MyChart Terms and Conditions

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Schedule an Appointment

1 Choose a specialty

2 Choose an appointment type

3 Choose a time

4 Confirm and schedule

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Log in to MyChart to Schedule Your Appointment

Schedule as a Guest

Schedule an Appointment

1 Choose a specialty

2 Choose an appointment type

3 Choose a time

4 Confirm and schedule