Sign Up

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Patient Information

NOTE: You only need to use this form if you don't already have an account. If you’re having trouble logging into your existing LiveWell account, please try the following:

Locked out of your account – Contact the LiveWell support team at (855) 624-9366 or email LiveWellSupport@aah.org.
Forgot your username or password – Try using the Forgot Username? or Forgot Password? links beneath the Sign In button to reset or recover your information.
Can’t access your child’s account – Go to your LiveWell account and select Request access to your child’s record quick link in right navigation. Access should be available within 5 business days.

Fill out all the required fields below.
If using autofill, double-check your information is correct and in the right fields.
Once you submit your information, you'll create a username and password to access your LiveWell account.

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Follow these steps to sign up for a LiveWell account.

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

If you have any questions, please contact us at 1-855-624-9366.

Follow these steps to sign up for a LiveWell account.

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

If you have any questions, please contact us at 1-855-624-9366.

Ready to get started? We just need some information and you’ll be on your way. After you fill in the fields below, we’ll ask you a few questions via a third-party verification system for security reasons. Once verified, we’ll send you an email or letter with your activation code and instructions to activate your LiveWell account.

Have a LiveWell account but experiencing trouble signing in?
• Locked out of your account – Contact the LiveWell support team at 855-624-9366 or LiveWellSupport@aah.org.
• Forgot your username or password – Use the Forgot Username? or Forgot Password? links beneath the Sign In button.
• Can’t access your child’s account – Go to your LiveWell account and select Request Access to Your Child’s Record. Access should be available within five business days.

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Legal Name

We recommend using your legal name as it appears in your medical record to ensure we match your medical records to your LiveWell account.

Legal first name

Legal middle name

Legal last name

Address

Other Information

Date of birth

Legal sex

FemaleMaleUnknown

Home phone

Work phone

Mobile phone

Email address - Please use lower case

Verify email address

Thank you - your request has been sent to the clinic. You will receive an activation code in your mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service.

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We were unable to verify your information, so your request has been sent to the clinic. You will receive an activation code by mail or email within a week.

If you have any questions or if you do not receive your activation code, call customer service at 1-855-624-9366.

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We are experiencing technical difficulties at this time. Please try again later or contact our customer service line for assistance.

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We were unable to verify your identity using the information provided. Please contact customer service at 1-855-624-9366 for assistance.

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We are experiencing technical difficulties at this time. Please contact our customer service line for assistance.

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There is an existing account for this person.

From the login page, click "Forgot username?" or "Forgot password?" to access this account.

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There is an existing account for this person.

Please contact us directly to restore access to your account.

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We are experiencing technical difficulties at this time. Please try again or contact our customer service line for assistance.

Unable to complete LiveWell signup. Please contact customer service at 1-855-624-9366 for help activating your account.

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In order to grant you a LiveWell account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your LiveWell account. If you have any questions, please contact your clinic.

We are checking with a third-party system to verify your identity. This may take several seconds.

Unable to Verify Your Identity

We’re not able to complete the verification process online
Please give us a call at 855-624-9366 so we can help you complete your account setup.

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Unable to Verify Your Identity

We are experiencing some technical difficulties while communicating with the third-party verification system. Please contact our customer service line for assistance.

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To ensure we're creating your account safely and securely, we need to confirm your identity. Please answer the following questions from Experian, our third-party verification service.

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