Physician Referral Form: Lester and Nancy Fraser Outpatient Burn Center

You may also refer a patient by phone: 617-726-3712

For immediate advice, call 617-283-8186

For urgent transfers, call 1-800-678-BURN

Please fill out the form below to request an appointment for your patient with the Lester and Nancy Fraser Outpatient Burn Center at Massachusetts General Hospital.

Thank you for your interest in the Lester and Nancy Fraser Burn Center at Massachusetts General Hospital. Once we have received your completed form, our patient service coordinator will contact your patient within one business day to schedule an appointment.

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