University of Missouri Homepage
Print    Email
Decrease (-) Restore Default Increase (+) font size
Email Forms Manager

Thank you for your interest in MU Healthe. Please fill out the form below to submit a request to have your MU Healthe account created.

You do need to be an established University of Missouri Health Care patient in order to request your account.

* Indicates required information
First Name * 
Last Name * 
Date of Birth * 
*If under 18, name of parent or guardian 
Daytime Phone Number * 
Gender * 

Email Address * 

Human Resources Giving Disclaimer Notice of Privacy Practices Web Communications Social Media Site Index
Mizzou University of Missouri University of Missouri System