Activation Code Request


This form is intended solely to allow activation code requests. If you have symptoms of an urgent nature, please call your doctor or go to the nearest emergency room immediately.

To request your activation code, please fill out all fields below. A myPennMedicine activation code is required to create your myPennMedicine online health management tool account.

Who Is Eligible?

myPennMedicine is available to current Penn Medicine patients 18 years of age or older. If you are not a Penn Medicine patient you can become one using our online request an appointment form

Already have an activation code?

Please go directly to the account activation form.

Your activation code will be sent to you after the request is validated. If there are any questions regarding your submission, you will be contacted via the phone number submitted.