Information for New Patients
If you’re new to Emerson Health Primary Care Bedford, welcome! It is our privilege to care for you. To get started, you will need to download, print and complete the forms below and bring them with you to your appointment.
New Patient Forms
- New Patient Packet [PDF]
- Release of Information Form [PDF]
Please print this packet on both sides of each piece of paper. In the packet you will find the following forms included:
- Welcome letter
- For patients between age 18 and 21
- New patient registration
- Health history
- Consent to treat/disclose health information
- Rights regarding your personal health information
- Patient consent for Mass HIWAY (Massachusetts Health Information HIWAY): a secure, statewide computer network that allows the electronic transfer of medical information among providers in order to improve the quality and safety of care
- Registration for the Emerson Hospital patient portal
About Emerson Health
Our practice is affiliated with Emerson Health. If you need a specialist, we will refer you to an Emerson physician. We work closely with many Emerson specialists on behalf of our patients. Emerson Hospital in Concord, Mass., is known for its medical and surgical specialists, outstanding nursing care and patient-centered services, including the Clough Birthing Center, Clough Surgical Center, and the Mass General Cancer Center at Emerson Hospital. Emerson also has the Clough Family Center for Rehabilitative and Sports Therapies in Concord and Westford for patients who need physical, occupational or speech-language therapy.
Emerson has received numerous awards and impressive rankings for the quality and safety of the care it provides, as well as for patient satisfaction. In addition, the Polo Emergency Center at Emerson Hospital is highly regarded and staffed by first-rate emergency medical physicians.
Please visit Emerson Health’s website for comprehensive information on the system’s clinical services, medical staff and programs.
