Children's Hospital Boston 300 Longwood Avenue
Boston, MA 02115
(617) 355-6000
X
Clinical Services (Plastic Surgery):
What to Bring
A checklist for your child's Plastic Surgery appointment:
Name, address and telephone number of your referring physician

Name, address and telephone number of your primary care physician (family doctor) if different from above

Completed History and Physical Form

List of medications your child is currently taking and has taken within the last three months and dosages

Any relevant medical records, X-rays, ultrasounds, MRI's or other lab results from other facilities

Social Security number of the patient and social security number of the subscriber on the insurance

Insurance card(s) and insurance information

Insurance referral

Copayment (payable at time of service)

For worker's compensation or accident/injury related visits:
Claim number

Name of adjuster

Contact telephone number

Address of worker's compensation company

Other helpful items to make your visit more enjoyable:
Books to read while waiting (there are books and magazines available in the waiting area as well)

Snacks

Formula, diapers or a change of baby clothes

X
X The information on this website should not be taken as medical advice,
which can only be given to you by your personal health care professional.
X
X Copyright © Children's Hospital Boston. All rights reserved.