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.
Are you a new patient?
If so, please download and fill out the following forms before your first appointment.
- New Client Registration Form, Fenway Health (PDF)
- New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
- New Client Registration Form – Arabic (تسجيل العميل) (PDF)
- Guarantor Form (PDF)
- Formulario de garante financiero (PDF)
- Medical Records Release Form (PDF)
- Patient Rights and Responsibilities
- Preventive Care Versus Diagnostic Care (PDF)
- Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
- Minor Patient (under 18) Registration Form (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.
Are you a new dental patient?
If so, please download and fill out the following forms before your first appointment.
- New Client Registration Form, Fenway Health (PDF)
- New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
- New Client Registration Form – Arabic (تسجيل العميل) (PDF)
- Guarantor Form (PDF)
- Formulario de garante financiero (PDF)
- Medical History Form (PDF)
- Formulario De Historia Clínica (PDF)
- Appointment Cancellation Policy (PDF)
- Política de Cancelaciones (PDF)
- Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
- Patient Rights and Responsibilities
- Minor Patient (under 18) Registration Form (PDF)
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.
Returning Patient Form (PDF)
Are you a new optometry patient?
If so, please download and fill out the following forms before your first appointment.
- New Client Registration Form, Fenway Health (PDF)
- New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
- New Client Registration Form – Arabic (تسجيل العميل) (PDF)
- Optometry History Form (PDF)
- Guarantor Form (PDF)
- Formulario de garante financiero (PDF)
- Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
- Patient Rights and Responsibilities
- Minor Patient (under 18) Registration Form (PDF)
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.
- Returning Patient Form (PDF)
- Optometry History Form (PDF)
Are you a new patient?
If so, please download and fill out the following forms before your first appointment.
- New Client Registration Form, Fenway Health (PDF)
- New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
- New Client Registration Form – Arabic (تسجيل العميل) (PDF)
- Guarantor Form (PDF)
- Formulario de garante financiero (PDF)
- Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
- Patient Rights and Responsibilities
- Minor Patient (under 18) Registration Form (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.
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 Program providers. Get help creating a MyFenway or MyBorum account here.
Questions? Email [email protected]
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?
-
617.267.0900
Fenway: South End
- 142 Berkeley Street
- Boston, MA 02216
- Questions or Comments?
-
617.247.7555
Sidney Borum, Jr. Health Program
- 142 Berkeley Street
- Boston, MA 02216
- Questions or Comments?
-
617.457.8140