Please read ALL the following forms.
Only these forms need to be printed and completed prior to first appointment.
-Primary Care Physician
-Medication provider
-School
You can reach me by calling
978-866-1435.
(Use 'Contact Me' tab for initial contact)
I will make every effort to return your call within 24 hours, with the exception of weekends and holidays and days I am not in the office. I am typically in the office on Monday, Wednesday, Thursday and Friday.
If you feel in crisis and are either unable to reach me or feel that you can not wait for me to return your call, please contact your family physician or go to the nearest emergency room. If I will be unavailable for an extended time, my voicemail will provide you with the name of a colleague to contact if necessary.
I have a 24 hour cancellation policy.
You will be charged $120.00 if you cancel within 24 hours or no-show. This is not covered by insurance.
Your appointment time is reserved just for you. Please let me know as soon as you can if you need to reschedule so I can offer the time to someone else who might need it
.
Attach a copy of your insurance card, both sides.
Adult or Child Assessment, Consent to Treatment, Telehealth Consent, Release of Information, and COVID-19 Office Safety