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The document is a sign-up form for MyChart, an online tool provided by DuPage Medical Group that allows patients to access their health information securely. It includes instructions for completing the form, necessary personal information required, and terms and agreements regarding the use of MyChart. Patients are informed about the confidentiality of their medical information and the responsibilities associated with maintaining account security.

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Versions	Form popularity	Fillable & printable
2012	4.6 Satisfied (51 Votes)

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