Self-Enrollment for My IU Health

Self-enrollment is available for IU Health patients who are age 18 or older who don't currently have access to My IU Health. Complete the form below to start the self-enrollment process.

If you manage the health of a patient, talk to the patient's health care provider at their next visit to receive a personal invitation to My IU Health. Self-enrollment is not currently available for authorized representatives.

* Indicates a required field.

First name

Last name

Date of birth

Month

Day

Year

Enter the year as 4 digits.

How would you like to verify your account?

SSN

What is your email address?

What is your mobile phone number? Example: (555) 555-5555

Identity verification