Requesting an insurance referral through Patient Portal is easy and secure!
3) On the next screen, click the "Request referral" button show here:
1) From the Patient Portal website, log in with your username and password.
(Link is located at the top of this page)
Once your request has been submitted, you will receive a "portal" response from the Out-Patient Services Department within a few business days!
Insurance Referral Requests
2) Once you are logged in, you can click either:
a) The "Referrals" link under the Medical Records tab on the left-hand column
b) or click "Request New Referral" on the bottom (center) of the screen.
4) On the final screen, enter your insurance referral information. Be sure to include:
-- Facility / Specialist's name
-- Specialist's NPI number
-- Specialist's office phone and fax numbers
-- Date and specifics (reason) of your appointment
87 North Main Street Leominster, MA 01453
Phone: (978) 534-8701
Fax: (978) 534-8705
FMMC Office Hours:
Monday - Thursday: 8:15am - 8:00pm
Friday: 8:15am - 5:00pm
Saturday: 9:30am - 1:30pm
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