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Boston Massachusetts Form Instructions 843: What You Should Know

We are located at 50 Prospect Street, Braintree, MA, 02133 and can be reached by calling the phone number below or by going to: For more information on the clinic or to inquire about services, call. For the complete clinic website, please visit We also provide Women's Care services for the Boston Metro area, West Boston and Newton. The office is now part of the Medical Center Braintree's Health Department — Please call us at to schedule an appointment. Locate your local clinic's location here. Volunteer | Tufts Medical Center Volunteer opportunities are available in the Community Health Education Room (CLEAR). The CLEAR provides education about the importance of having regular medical exams and vaccinations, and provides free health screenings and preventive services for the greater Boston area residents. For additional information, call. Register for an Exams appointment | Tufts Medical Center You must provide the following information to schedule an appointment. Vitals — Age & Sex, Birth Date, Last SSN, Residence Your name and address must match those on your summons, and you must be able to verify your current home address. Any other information may result in an incomplete information response when you access the online application. For an appointment, you will be required to provide: A copy of your summons, tax return, federal or state tax documents and bank statements. A copy of your current medical conditions, and current physical exam and medications. A copy of your current driving record. Your current health plan information. The date you are available in the office for your exam, as well as any required time off work, if applicable. Payment for your examination visit If you require an exam appointment for the next six months, you must pay for your examination through a Direct Examination Request Form (HER). This procedure can be expedited through the use of your Freeway account if you are enrolled in Freeway. Payments for Hers should be made online using the following link: . Do NOT submit payments or HER requests through the website.

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