*Required fields are marked with an asterisk.
Due to the re-instatement of state and federal restrictions, as of August 31, 2021, Fenway Health will no longer be able to schedule telehealth visits for patients located outside of Massachusetts.
Ajax Error
Some features may not work properly. Please try again or reload the page. If you continue to experience this problem please contact the system administrator.
For Returning Clients of Fenway Health:
If you are
already a Fenway Health client, please complete this form and give it to our Patient Services staff when you arrive at your next appointment.
Returning Client Registration
If you have questions about this form, please call 617.927.6000.
For New Clients to Fenway Health:
If you are
new to Fenway Health, please complete these forms and give them to our Patient Services staff when you arrive at your first appointment.
New Client Registration Form
New Client Registration Form - Spanish (Inscripción del cliente)
New Client Registration Form - Arabic (تسجيل العميل)
If you have questions about this form, please call 617.927.6000.
If you have medical records at another health care facility that you wish to transfer, the following form will allow your Fenway Health provider to obtain them.
***NEW***
If you have a verified myfenway account you can now fill our your ROI electronically, click here to complete our electronic ROI
For questions about this form, please call 617.927.6191.
Trans Youth - First Medical Visit Documentation Packet
Please download and complete this packet of information prior to attending the first medical visit scheduled in the Trans Youth Clinic. Bring in and be prepared to discuss the information requested
First Medical Visit Packet
Prior to appointments discussing your trans youth's fertility, please complete the surveys below. Bringing these questionnaires to the visit with your provider helps us help you and your family navigate important conversations about young peoples' health.
Transgender Youth Fertility Questionnaire: Parent/Guardian Report
Transgender Youth Fertility Questionnaire: Youth Self Report
Gender Affirming Care Medication Options
For more information about gender affirmation, medications that aren't listed here, and which medications may be best for you, schedule an appointment with your Fenway Health medical provider.