thank you

REQUEST SUBMITTED

Thank you for requesting an appointment with Emerson Health Primary Care Bedford. A member of our staff will be in touch with you during normal business hours.

For further information about our practice, please return to the practice's home page, or give us a call at 339-215-5100.

SAVE TIME BY PRE-REGISTERING

If you’re new to Emerson Health Primary Care Bedford, welcome! It is our privilege to care for you. To get started, you will need to download, print and complete the forms below and bring them with you to your appointment.

Please print this packet on both sides of each piece of paper. 

• New Patient Packet
• Release of Information Form

In the packet you will find the following forms included:

• Welcome letter
• For patients between age 18 and 21
• New patient registration
• Health history
• Consent to treat/disclose health information
• Rights regarding your personal health information
• Patient consent for Mass HIWAY (Massachusetts Health Information HIWAY): a secure, statewide computer network that allows the electronic transfer of medical information among providers in order to improve the quality and safety of care
• Registration for the Emerson Hospital patient portal