Policies and Forms

Office Hours

The office is open Monday through Friday, 8:30 am – 4:30 pm.  We are closed for lunch from 12:00 – 1:00.

Scheduling Appointments

Request an appointment online.

Insurance Authorization Requirements

All patients must verify their health insurance coverage prior to their scheduled appointment.

Billing Questions

For specific billing inquiries, kindly contact our billing service, Doctor’s Billing, Inc., at (781) 749-9071

Co-payments

Co-payments are due at appointment check-in. Payments can be made by: Cash, Check, MasterCard or Visa.

Requests for Medical Records

To obtain a copy of your medical records, download and complete our release of records form.

Request for Radiologic Studies

If you wish to obtain copies of your imaging studies, please contact the location where the studies were performed. If you have left your studies at one of our offices and would like to obtain them please call the office and arrange a time when they can  be picked up.

Forms To Download

New Patient Questionnaire [pdf]

New Patient Insurance Intake form [pdf]

Prescription Policy [pdf]

Oswestry Low Back Pain Disability Questionnaire [pdf]

Narcotic Patient Information [pdf]

Request for Medical Records [pdf]

Spine Information Intake Form [pdf]

Privacy Policy [pdf]

 


To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. You may bring or mail your completed forms to the office at the time of your visit.