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Membership-based Primary Care
Your health is our top priority
(617)-263-0002
Forms & Documents
Required Forms
Complete Online or print PDF. If possible, complete these forms before you are seen as a patient.
If you are paying by Credit Card
Printed & signed (or scanned) PDF forms can be
faxed to: 617-263-0002
mailed to: 3 Hawthorne Place, Suite 106,
Boston, MA 02114
emailed to: salone@prioritycareboston.com
Documents for Review
Welcome Letter (Founder's Membership)
Communicating with PCB
HIPAA Privacy Notice
Directions to MGH from PCB
ACH & Wire Bank Transfers
Health Status Assessment Tools
Physical Functioning
Lifestyle Review
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