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When you arrive to the office in the Hunnewell Building, 1st floor, check in at the front desk. There, one of our staff will verify your personal information and collect the copayment for your visit. You will then be asked to complete a few forms, including a history and physical form answering questions about your health history. To save time at check-in, print and fill out these forms ahead of time and bring them with you.
Below we have provided useful checklists and forms to help you prepare for your appointment
Name, address and telephone number of your referring physician
Name, address and telephone number of your primary care physician (family doctor)
Completed History and Physical Form
List of medications and dosages your child is taking
Any medical records, X-rays, ultrasounds, MRIs or lab results from other facilities
Social Security number of the patient and the subscriber on the insurance
Insurance card(s) and insurance information
Copayment (payable at time of service)
Name of adjuster
Contact telephone number
Address of worker's compensation company
Books to read while waiting
Formula, diapers or a change of baby clothes
You may find it helpful to fill out the following forms before your office visit:
In the Boston Children's Department of Plastic and Oral Surgery, your comfort and satisfaction with your experience is of the utmost importance to us. Please download the following form and bring it with you to your appointment, or feel free to complete and fax the survey back to us following your visit. Your responses help to set the standard for the quality of care we provide:
After the doctor has seen your child, you may need to stop at the front desk to make a follow-up appointment. At any time, please do not hesitate to ask one of our staff for assistance or information.
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”