My HealtheVet

Register with My HealtheVet

IDENTIFICATION

RELATIONSHIP TO THE VA

DONOR INFORMATION

PRIMARY ADDRESS

CONTACT INFORMATION

ACCOUNT INFORMATION

Terms & Conditions and Privacy Policy

Create your My HealtheVet user profile.

* Indicates Required Information

VA Patients/Veteran: If you want an Advanced or Premium My HealtheVet account, you will need to provide your Social Security Number (SSN). If you choose not to provide your SSN, you may continue to register for a My HealtheVet Basic account. Under the section Relationship to the VA, please do not check the VA Patient and/or Veteran box. Related Links: Why Provide Your SSN? \| Benefits for VA Patients \| Our Privacy Policy
Title:	First Name*:	Middle Name:	Last Name*:	Suffix:
Alias:

	Social Security Number (*This is required information for VA Patients/Veterans) First 3 SSN Numbers - Middle 2 SSN Numbers - Last 4 SSN Numbers
	Confirm Social Security Number (*This is required information for VA Patients/Veterans) Confirm First 3 SSN Numbers - Confirm Middle 2 SSN Numbers - Confirm Last 4 SSN Numbers
	Gender*:	Birth Date*: Select Birth Month Select Birth Day Select Birth Year
	Marital Status:	Current Occupation:

Do you use the VA Healthcare System? Selecting VA Patient is the first step to gain access to:

VA Prescription Refills
Secure Messaging
VA Blue Button
Key portions of your electronic VA health record
DoD Military Service Information (for some).

	Your Blood Type will appear on your Wallet Card.

	Blood Type:	Organ Donor:

	Information entered on this page is for your My Health eVet account only and is not shared with the VA. If you need to update the information in your official VA record, including the mailing address for your VA prescriptions, please contact the appropriate office at your VA Medical Center.
	Country*:
	Address 1*:
	Address 2:
	City*:
	State: Zip/Postal Code*:
	Province (if outside U.S.):

	Select your preferred method of contact. Your preferred method of contact will require you to enter information in the corresponding field.
	My Preferred Method of Contact Is*:
	Email (E):
	Home Phone (H):
	Mobile Phone (M):
	Work Phone (W):
	Fax (F):
	Pager (P):

	User ID and Password
	Your User ID must be unique, must contain no spaces, may be a combination of letters and numbers, must be 6 to 12 characters in length and is not case sensitive. Examples Include: Starfish8,JESmith, 1233bc Your Password Must be 8 to 12 characters in length, have at least one letter and one number, have at least one special character (e.g., !, #, %), have no spaces, be case sensitive and not be the same as the User ID Examples Include: #1veteran, some_pass1, giveme$100

	User ID*:
	Password*:
	Re-enter Password*:

Password Hint Questions and Answers

	Your Password Hint Questions: A Password Hint is a question you will be asked to confirm your identity. It will be asked if you cannot remember your User ID or Password. Be sure to select questions and answers you will remember.

	Question 1*:
	Answer 1*:
	Question 2*:
	Answer 2*:

Tell us about yourself. (Check all that apply. *At least one is required.)

VA Patient

Veteran Advocate/Family Member/Friend

VA Employee

Health Care Provider

I have read and agree to abide by the following My HealtheVet terms.

Accept* MHV Terms & Conditions
Accept* Privacy Policy

Secure Messaging is a way for VA Patients to send electronic messages to their VA health care teams. Secure Messaging is available to users with an upgraded MHV account. Agreeing to the Secure Messaging Terms & Conditions here allows you to use Secure Messaging if/when you meet the user criteria.

Accept Secure Messaging Terms & Conditions