Prepare for your upcoming visit
Follow-up Visit Preparation
Use this form to submit information prior to your upcoming FOLLOWUP-UP appointment for your chronic medical conditions. PLEASE DO NOT USE THIS FORM FOR ANNUAL PHYSICALS OR WELLNESS VISITS. Please be reminded that these visits are typically scheduled every 20 minutes. If you have multiple problems, we ask that you schedule additional appointments so we have adequate time to address them.
Learn MoreSick or Acute Care Visits
Complete the questionnaire to help us prepare for your upcoming sick or acute care visit. Please be reminded that these visits are typically scheduled every 20 minutes. If you have multiple problems, we ask that you schedule additional appointments so we have adequate time to address them.
Learn MoreOver 65 Medicare Annual Wellness Visit
If you have Medicare or a Medicare Advantage plan (such as Blue Chip for Medicare or United Medicare Advantage), please fill out these questionnaires prior to your upcoming visit.
Learn MoreAdult Yearly Physical (non-Medicare)
If you have commercial insurance, such as Blue Cross, United, Neighborhood, or Tufts complete these questionnaires prior to your upcoming visit.
Learn MoreMigraine Headache Intake Visit (Botox)
Migraine relief: Botox to reduce headache frequency & intensity. Quick, safe, & effective treatment for those suffering w/ chronic migraines.
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