Please submit the secure form below to refer your patient to a provider at Massachusetts General Hospital.
- Physician Referral Service: 855-477-4755
- Register a patient: 866-211-6588
- See additional convenient online resources at Mass General
Please use the form below to request a new patient appointment with one of our providers. This form should not be used for appointments needed within 72 hours; in those cases, please call us at 855-477-4755.
After you submit this form, Massachusetts General Hospital staff will work directly with the patient to schedule an appointment and assist with registration if needed. Referring providers will be notified of appointment details.
Please know you may be contacted to provide additional information for the referral.
If you prefer to make this referral by phone or have questions, we are available to assist you Monday–Friday, 8:30 am to 5:00 pm at 855-477-4755.
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