Forms

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.

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.

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.

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.

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.

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.

Are you a returning patient?

In order to keep our records up-to-date, we ask that you complete this form once per year.

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

Questions or Comments?

617.457.8140