Please Identify Yourself

MyUnityPoint Activation Code

Enter your Activation Code as it appears in your enrollment email or letter (your code is not case sensitive). You will not need to use this code after you complete the signup process.

xxxxx
-
xxxxx
-
xxxxx

Please enter the last 4 digits of your Social Security Number.

nnnn
Date of Birth

Enter your date of birth in the format shown, using 4 digits for the year.

mm
/
dd
/
yyyy