To request an appointment in the Mass General Down Syndrome Program, please complete and return an intake form.
- Learn more about the Down Syndrome Program
Request an Appointment
To request an appointment in this clinic, please first complete one of the following intake forms. We know that these forms might seem lengthy, but our medical team reads all of the information so that your time spent with us can be maximally efficient and productive. The form should take about 30 minutes to complete.
If your son or daughter is younger than 21 years old:
and this is his or her very first appointment, please complete a new pediatric intake form (pdf).
and he or she has already been seen in our clinic, please complete an annual pediatric intake form (pdf).
If your son or daughter is 21 years or older:
and this is his or her very first appointment, please complete a new adult intake form (pdf).
and he or she has already been seen in our clinic, please complete an annual adult intake form (pdf).
If your son or daughter has received medical care from a health care provider outside Mass General, please use the release form below to request that medical records be sent to us in advance of your visit so that we can review them.
- Authorization for Release of Protected or Privileged Health Information (pdf).
- Authorización para expedir / recibir información médica protegida (amparada por ley) (pdf).
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