MyChart Registration — Bedford Pediatrics

MyChart Sign Up/Sign In

Sign up for MyChart

My Chart is an online-based patient portal that allows patients to securely and easily communicate with their doctor’s offices about their health records. Services include viewing test results and health records, communicating with the doctor and office staff and requesting prescription renewals.

Once your information is submitted, you will receive an activation code to start using MyChart.

Patient Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email Address (if patient > 13 years old)

Parent/Guardian Name 1

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email

Zip Code

Parent/Guardian Name 2

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email

Zip Code