Thank you for your interest in joining the Concierge Medicine practice at Massachusetts General Hospital. Use the form below to request additional information. A member of our staff will reach out to you to answer any questions.

This membership-based primary care practice has an annual fee of $6,000. Patients are required to carry their own healthcare insurance. Please confirm your interest in joining the practice and we will proceed with the next steps in the process.

Important note: Some questions on this form may appear or disappear based on your responses.

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Patient Information






If you are an international patient, please complete this form to be contacted by our International Patient Center.


Partner's Hospitals include: Brigham & Women's, Newton Wellesley and NorthShore Medical Center