Please use this form only if:
  • You have never been a patient in the Weight Center, OR
  • You have been a patient in the Weight Center but are seeking an appointment with a new clinical area or doctor

After you submit the form, a representative will call you back with the information you’ll need to make an appointment. You may also speak with a representative directly Monday–Friday, 8:30 am to 5:00 pm EST by calling 617-726-4400.

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

* indicates a required field.

Please call 911 if you are experiencing a medical emergency.

Request an Appointment: Weight Center

For appointment requests, general questions or concerns, please contact our team either by completing the form below or by calling the Weight Center access coordinator at 617-726-4400.  We are available Monday - Friday  8:00 am to 5:00 pm EST to take your call.

Requestor Information

If you are an international patient, please complete the International Patient Appointment Form.

Patient Information


Referring Physician

About Your Appointment