Request to Access a Minor's Record

To request access to the record of a minor patient through MyBMGChart, please complete this form. Please note that the patient's chart will be accessed through your MyBMGChart account or an account created for you.
To request access to the record of a minor patient through MyBMGChart, please complete this form. Please note that the patient's chart will be accessed through your MyBMGChart account or an account created for you.