Thank you for your interest in MyChart®, an easy-to-use internet tool that provides you quick and secure online access to your Austin Regional Clinic health information from anywhere at any time. To register for access to your health information in MyChart® or to register for caretaker access to your loved ones' health information in MyChart®, please complete the appropriate MyChart® form(s) below.

For your convenience we provide our patient forms online. Please bring the completed form(s) with you to your appointment. Forms can be filled out in your browser via Adobe Reader or Acrobat, depending on browser type. Note that Adobe Reader cannot save typed data and we suggest printing copies for your records.

MyChart Registration Forms: use the PDF forms below to gain access to your medical information using MyChart.

  • MyChart Adult Registration Form (18 years old or older)
    Fill out this form to access your Austin Regional Clinic health information online from anywhere at any time.

MyChart Caretaker Forms: use the PDF forms below to gain access to your child or a loved one’s medical information using MyChart.