For your convenience, we are giving you the option to download, print and fill out the registration forms before you come in. If you prefer to do this at your time of appointment, please arrive a few minutes early to complete the registration forms so that we have all the necessary information to treat your child.
UBCP MyChart Proxy Authorization | Patient's Age 0-11 Years Old
UBCP MyChart Proxy Authorization | Granting Proxy Access to Parent/Guardian on behalf of an Adolescent (12-17 Years Old)