Patient Forms

All requests will be processed in 2-3 days. Please call the office at 617-426-9200 x3 if you are requesting a same day appointment.

You may download and print any of our forms listed below before coming to our office.  This will get you out of the waiting room and in to see the doctor a lot quicker!  You may either bring them with you to the first visit, or if you wish, fax them to us before your appointment.

You may download Adobe Reader for free at

Patient Registration Form

Request for Medical Records

Notice of Privacy Policy


As with any professional office, our goal is to serve our patients efficiently and effectively. In order to achieve these goals, we request that each patient do their part by cooperating with the policies of our practice regarding insurance and payment.

Please download a copy of our Billing and Credit Policy


Porter Pediatrics accepts the following insurances:

  • Aetna
  • Blue Cross/Blue Shield/HMOBlue
  • Cigna
  • CCN
  • Harvard Pilgrim
  • Healthcare Value Management
  • Private Health Care System
  • Tricare
  • Tufts HMO/Total
  • Unicare
  • United Healthcare


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