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

If you do not have a Mass General 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.

Required fields are marked with an*


Date of Birth*   

Phone Number*   

Email Address

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

To request a specific doctor, list name below

Did a physician refer you?  
Have you had an evaluation within the last 6 months?  
Please describe your medical condition or leave a comment

Insurance Plan