Rochelle MyChart

Do not use this form to request access to a family member’s chart. Once you have established an account, log in and visit "Request Family Access" for more information.

If you already have a login to OSF MyChart, the same login can be used on this website.

Improperly obtaining access to another's medical records without a valid patient authorization is against State and Federal confidentiality law and is subject to fines and/or imprisonment.

Please call (815) 562-2181 (ext 2740) if you have questions.

Follow these steps to sign up for a Rochelle MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at (815) 562-2181 (ext 2740).

Follow these steps to sign up for a Rochelle MyChart account.

Enter your personal information.
Verify your identity.
Choose a username and password.

If you have any questions, please contact us at (815) 562-2181 (ext 2740).

First, we need to collect some information about the patient. If you have any questions, please contact us at (815) 562-2181 (ext 2740).

Indicates a required field

Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at (815) 562-2181 (ext 2740).

Indicates a required field

Complete the missing information below to finish signing up for a Rochelle MyChart account.

If you have any questions, please contact us at (815) 562-2181 (ext 2740).

First name

Middle name

Last name

Date of birth

Legal sex

Female Male Unknown

Home phone

Mobile phone

Email address

Verify email address

Last four digits of SSN

The last four digits of your SSN will not be stored. We use this to eliminate duplication, expedite service, and prevent identity theft.

Sign Up

Name

Address

Other information

Sign Up

Patient information

Name

Address

Other information