Please Identify Yourself

Step 1

All fields are required.

MyGOSH Activation Code

Enter your Activation Code as it appears on your enrolment letter (your code is not case sensitive). You will not need to use this code after you complete the signup process.

xxxxx
-
xxxxx
-
xxxxx
Your Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

dd
/
mm
/
yyyy

Please enter the patient's medical record number.