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.

If you prefer to make this referral by phone or have questions, our staff in the Referral Management Office is available to assist you Monday through Friday, 8:30 am-5:00 pm, at 855-477-4755.

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