Myhealthonline sutter 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Medical Record Number (MRN) and Date of Birth (DOB) at the top of the form. This information is essential for identifying your health records.
3. Select your Sutter Affiliate or Hospital from the provided options. If your provider is not listed, write their name in the designated space.
4. In the Requester Information section, print your name clearly, along with today’s date and your Date of Birth in MM/DD/YYYY format. Optionally, you can include the last four digits of your Social Security Number.
5. Fill in your email address and mailing address accurately to ensure you receive important communications regarding your health information.
6. Sign and date the form at the bottom. Remember that a missing signature will delay processing.
7. Once completed, either bring this form to your next medical appointment or fax/mail it to the Patient Services Contact Center as indicated.

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