(978) 679-1200

Forms & Policies

Please find some of our most frequently used forms and handouts below. If you have patient portal access, you can request to complete and submit the forms via the Patient Portal.

Policies Handouts

  • Notice of Privacy Practices Trifold
  • Patient Rights and Responsibilities
  • Refill Policy
  • Billing Policy
  • Late Policy
  • Cancellation Policy
  • Discharge Policy
  • No Show Policy
  • Transfer Policy

Due to the COVID-19 public health emergency, all appointments have been changed to telehealth visits through May 4 (date subject to change). Clinic staff will be reaching out to all scheduled patients to coordinate telehealth visits. If you require a refill, please call the refill line or utilize the patient portal