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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.

Division of Nephrology

Tufts Medical Center
35 Kneeland Street
4th and 5th Floors
Boston, MA 02111

  • Patient Emergencies after 5 pm: 617-636-5114 and ask to page the nephrology fellow on call
  • Clinic Appointments: 617-636-5866
  • Outpatient Dialysis Clinic: 617-636-6389

* Indicates a required field.


Patient Information

Marital Status
Interpreter Required?

Insurance Information