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Pediatric Pain and Palliative Care Service

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Preparing for Your Visit

Before your child's appointment, we ask that you fill out the patient intake form. This form will help us work with you and your child to develop an effective treatment plan:

Intake form for patients/families

Once you have filled out the form, please fax it to 617-643-5753 or mail to:
MassGeneral Hospital for Children Access and New Appointment Center
32 Fruit Street
Yawkey 6858
Boston, MA 02114

Please contact your insurance company for any preauthorizations and/or referrals.