1) From the Patient Portal website, log in with your username and password.
(Link is located at the top of this page)
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
Once your request has been submitted, you will receive a "portal" response from the Out-Patient Services Department within a few business days!
3) On the next screen, click the "Request referral" button show here:
Requesting an insurance referral through Patient Portal is easy and secure!
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.
Insurance Referral Requests
87 North Main Street Leominster, MA 01453
Phone: (978) 534-8701
Fax: (978) 534-8705
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FMMC Office Hours:
Monday - Thursday: 8:15am - 8:00pm
Friday: 8:15am - 5:00pm
Saturday: 9:30am - 1:30pm