Forms & Instructions for Accessing Care at Fenway Health
Want to become a Fenway Health patient? Call us at 617.927.6000 or click to learn more about becoming a patient.
Primary Medical Care Forms for New and Returning Patients
Are you a new patient?
If so, please download and fill out the following forms before your first appointment.
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Patient Registration Form, Fenway Health (PDF)
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Patient Registration Form, Sidney Borum, Jr. Health Center(PDF)
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Guarantor Form (PDF)
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Medical Records Release Form (PDF)
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Patient Rights and Responsibilities
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Preventive Care Versus Diagnostic Care (PDF)
Are you a returning patient?
In order to keep our records up-to-date, we ask that you complete this form once per year.
Dental Care Forms for New and Returning Patients
Are you a new dental patient?
If so, please download and fill out the following forms before your first appointment.
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Patient Registration Form (PDF)
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Guarantor Form (PDF)
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Medical History Form (PDF)
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Appointment Cancellation Policy (PDF)
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Patient Rights and Responsibilities
Are you a returning dental patient?
Please fill out this form before your appointment if you haven’t already done so this calendar year. In order to keep our records up-to-date, we ask that you complete this form once per year.
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Returning Patient Form (PDF)
Eye Care Forms for New and Returning Patients
Are you a new optometry patient?
If so, please download and fill out the following forms before your first appointment.
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Patient Registration Form (PDF)
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Optometry History Form (PDF)
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Guarantor Form (PDF)
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Appointment Cancellation Policy (PDF)
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Patient Rights and Responsibilities
Are you a returning optometry patient?
Please fill out this form before your appointment if you haven’t already done so this calendar year. In order to keep our records up-to-date, we ask that you complete this form once per year.
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Returning Patient Form (PDF)
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Optometry History Form (PDF)
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Appointment Cancellation Policy (PDF)
Behavioral Health Forms for New and Returning Patients
Are you a new patient?
If so, please download and fill out the following forms before your first appointment.
-
Patient Registration Form, Fenway Health (PDF)
-
Guarantor Form (PDF)
-
Patient Rights and Responsibilities
Are you a returning patient?
In order to keep our records up-to-date, we ask that you complete this form once per year.
Transgender Health Informed Consent Forms
Fenway Hormonal Treatment Documents
MyFenway & MyBorum
Patients can use MyFenway.org or MyBorum.org to request prescription refills and referrals online, and communicate over email with some Fenway Health or Sidney Borum, Jr. Health Center providers. Get help creating a MyFenway or MyBorum account here.
Questions? Email myfenway@fenwayhealth.org
Customer Feedback
We welcome and appreciate your feedback regarding your experiences. Please use this form to report concerns about your care, as well as any compliments or suggestions.
Ansin Building
1340 Boylston Street
Boston, MA 02215
Questions or Comments?
617.927.6000
Fenway: South End
142 Berkeley Street
Boston, MA 02116
Questions or Comments?
617.247.7555
Sidney Borum, Jr. Health Center
75 Kneeland Street
Boston, MA 02111