To request an appointment with one of the Orthopaedic Oncology doctors, please use the form below.

If you do not have a MGH Medical Record Number, you need to call 1-866-211-6588 to register and obtain one before we can schedule your appointment. A manager will be in touch to schedule your appointment. Please bring your films and copies of all of your reports to your appointment.

Required fields are marked with an*

Name*   

Date of Birth*   

Phone Number*   

Email Adress

Mass General Medical Record Number (Pre-registration required, call 1-866-211-6588)*   

Referring physician*   

Referring physician phone number*   

To request a specific doctor, list name below

Name/Type of Tumor

Is the tumor:

Location of the tumor

Has the tumor been biopsied? (We will need the slides and a copy of the pathology report)  
Was any surgery done?  
If yes, what was the approximate date of the surgery?

Have you had radiation or chemotherapy?  
If yes, what were the dates of treatment and please describe your treatment.

Have you had a bone scan?  
Have you had plain films?  
Have you had an MRI?  
Have you had a CT scan?  
Have you had a PET scan?  
Have you had blood work?  
Additional comments about your tumor or other medical condition

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