MySparrow - Sign Up

We need some information from you in order to create your MySparrow account. If you are under 18 years old, it could take up to one business-week for processing and verification. Once approved, you will receive an email or a letter with your activation code and instructions on how to activate your MySparrow account. If you have any medical questions, or your question is time sensitive, please contact your clinic directly.

Indicates a required field

Follow these steps to sign up for a MySparrow account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at 517.364.4357.

Indicates a required field

Follow these steps to sign up for a MySparrow account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 517.364.4357.

Indicates a required field

Follow these steps to sign up for a MySparrow account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 517.364.4357.

Indicates a required field

First, we need to collect some information about the patient. If you have any questions, please contact us at 517.364.4357.

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 517.364.4357.

Indicates a required field

We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.

First name

Middle name

Last name

Date of birth

Last four digits of SSN

Legal Sex

Female Male Unknown

Home phone

Mobile phone

Email address

Verify email address

Sign Up

Name

Address

Other Information