Please use this form only if:
  • You have never been a patient in Thoracic Surgery, OR
  • You have been a patient in Thoracic Surgery 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. To make an appointment by phone, please call 617-726-5200.

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


About Your Appointment