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Patients and visitors: Please use our Mass General Brigham Prescreen app to answer symptoms screening questions prior to your arrival at our facilities.

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Thoracic Surgery New Patient Appointment Requests / Patient Referrals

By using this form you may refer yourself or a patient to our clinic. Your information will be sent securely via email to one of our New Patient Coordinators. You will be contacted shortly to set up a time for the appointment and to give you additional information. If you prefer, you may call our Patient Coordinators directly at 617-732-5922.

If you do not have a referring doctor or are not sure of a diagnosis you may leave those fields blank.

A ( * ) indicates a required field.

Please verify that you are not a robot by clicking on REQUEST APPOINTMENT

Thank You for Your Thoracic Surgery Appointment or Referral Request

Your thoracic surgery appointment request has been submitted.