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To request an appointment in the Mass General Down Syndrome Program, please complete and return an intake form.
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 thirty minutes to complete.
If your son or daughter is younger than 21 years old:
If your son or daughter is 21 years or older:
Our clinic for adults with Down syndrome (ages 21 and older) is now at full capacity. In order to continue serving our established patients, we are no longer able to accept new adult patients until additional resources can be identified for clinic expansion. More information.
If your son or daughter has already been seen in the past 3 years in our clinic, please complete the annual adult intake form found in your iHealthspace account. Your son/daughter must already have an appointment scheduled within the next 3 months for this intake form to appear. You should also receive e-mailed reminders to complete the form at 3 months and at 4 weeks in advance of the appointment.
(If you are unable to complete one of these intake forms electronically, please contact our Program Coordinator, firstname.lastname@example.org or 617-643-8912, to request a paper version.)
Please check with MGH Patient Insurance Services with any questions about your insurance. It is your responsibility to ensure your insurance will be accepted for the visit. Please contact them at: 617-726-2191.
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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