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Physician Access Intake Form (Providers + Staff Only)

Referring a patient has never been easier. Simply fill out our refer a patient form and one of our referral coordinators will immediately follow up with you. Having trouble? No problem. Just call our Physician Access Line at 617-636-7255.

This form should only be filled out by physicians or their staff.

This site is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. See more information.

In the case of a medical emergency, please call 911 for immediate assistance.


Floating Hospital for Children
800 Washington Street
Floating Building, 2nd Floor
Boston, MA 02111

  • Phone: 617-636-3266
  • Fax: 617-636-8718

Pediatric Gastroenterology Satellite Clinics: 

Pediatric Specialty Center - Brockton
210 Quincy Avenue
Brockton, MA  02302

Pediatric Specialty Center - Chelmsford
20 Research Place
North Chelmsford, MA  01863

Pediatric Specialty Center - Framingham
85 Lincoln Street, 4th Floor
Framingham, MA  01702

Pediatric Specialty Center - Lawrence
25 Marston Street, Suite 206
Lawrence, MA  01842

Pediatric Specialty Center - Westford
198 Littleton Road, Suite 203
Westford, MA  01886

Pediatric Specialty Center - Woburn
7 Alfred Street
Woburn, MA  01801

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