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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 Adult Physician Access Line at 617-636-7255 or our Pediatric Physician Access Line at 617-636-1440.

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

Pulmonary, Critical Care + Sleep Medicine
Tufts Medical Center
260 Tremont Street
Biewend Building, 3rd Floor
Boston, MA 02111

  • Phone: 617-636-6377
  • Fax: 617-636-5953

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Patient Information

Marital Status
Interpreter Required?

Insurance Information