Forms

Are you a new patient?

• New Client Registration Form, Fenway Health (PDF)
• New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
• New Client Registration Form – Arabic (تسجيل العميل) (PDF)
• Guarantor Form (PDF)
• Formulario de garante financiero (PDF)
• Medical Records Release Form (PDF)
• Autorización de Fenway Health para divulgar información de salud protegida (PDF)
• Patient Rights and Responsibilities (PDF)
• Preventive Care Versus Diagnostic Care (PDF)
• Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
• Minor Patient (under 18) Registration Form (PDF)

Are you a returning patient?

• Returning Patient Form, Fenway Health (PDF)

Are you a new dental patient?

If so, please download and fill out the following forms before your first appointment.

• New Client Registration Form, Fenway Health (PDF)
• New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
• New Client Registration Form – Arabic (تسجيل العميل) (PDF)
• Guarantor Form (PDF)
• Formulario de garante financiero (PDF)
• Medical History Form (PDF)
• Formulario De Historia Clínica (PDF)
• Appointment Cancellation Policy (PDF)
• Política de Cancelaciones (PDF)
• Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
• Patient Rights and Responsibilities
• Minor Patient (under 18) Registration Form (PDF)

Are you a returning dental patient?

Please fill out this form before your appointment if you haven’t already done so this calendar year. In order to keep our records up-to-date, we ask that you complete this form once per year.

• Returning Patient Form (PDF)

Are you a new optometry patient?

If so, please download and fill out the following forms before your first appointment.

• New Client Registration Form, Fenway Health (PDF)
• New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
• New Client Registration Form – Arabic (تسجيل العميل) (PDF)
• Optometry History Form (PDF)
• Guarantor Form (PDF)
• Formulario de garante financiero (PDF)
• Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
• Patient Rights and Responsibilities
• Minor Patient (under 18) Registration Form (PDF)

Are you a returning optometry patient?

Please fill out this form before your appointment if you haven’t already done so this calendar year. In order to keep our records up-to-date, we ask that you complete this form once per year.

• Returning Patient Form (PDF)
• Optometry History Form (PDF)

Are you a new patient?

If so, please download and fill out the following forms before your first appointment.

• New Client Registration Form, Fenway Health (PDF)
• New Client Registration Form – Spanish (Inscripción del cliente) (PDF)
• New Client Registration Form – Arabic (تسجيل العميل) (PDF)
• Guarantor Form (PDF)
• Formulario de garante financiero (PDF)
• Fenway Health Parent/Guardian Consent for Treatment of Minor (PDF)
• Patient Rights and Responsibilities
• Minor Patient (under 18) Registration Form (PDF)

Are you a returning patient?

In order to keep our records up-to-date, we ask that you complete this form once per year.

• Returning Patient Form, Fenway Health (PDF)