Please use this form only if:

  • You have never been a patient in the Hand & Arm Center, OR
  • You have been a patient in the Hand & Arm 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.

Please do not mail your records or scans. Bring them with you to your appointment. We will let you know if one of our doctors needs your records or scans ahead of time.

If you have sustained trauma (like a cut or broken bone) to your hand, wrist, forearm or elbow within the last two weeks, please call 617-726-4700 to make an appointment instead of using the form below.

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.

Requestor Information

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

Patient Information


Referring Physician

About Your Appointment


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