Request a Patient Appointment at Joslin Diabetes Center
Please note: We cannot process emergency requests through this form. If you are experiencing a medical emergency, please call 9-1-1.
Please be advised that we do not accept same day appointments via this on-line form. If you wish to check same day availability please call (617) 309-2440.
This form is to request an appointment at the Joslin Clinic located in Boston, MA from within the U.S. only. If you are interested in an appointment a Joslin Affiliate throughout the country, please click here to view other locations.
Using our online form, you may submit this information to our Joslin Central Appointments Office to request an appointment. You can also call our Central Appointments Office (Monday-Friday, 8:30-5:00 EST) at (617) 309-2440 to speak with someone directly.
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* Name of person who needs an appointment |
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* Email address |
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| * Daytime phone number | We will call you within two business days between the hours of 8:30-5:00 pm EST. | |
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Preferred appointment day |
Mon Tue Wed Thurs Fri Next Available | |
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Preferred appointment time |
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Please check one of the following |
This request is for a new patient. | |
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I would like an appointment with (select all that apply) |
Adult Diabetes | |
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Additional information Please do NOT provide medical or personal information. |
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Once we have received your request, we will call you within two business days during the hours of 8:30am-5:00pm EST to complete the registration process. Please keep your phone available and have the following information ready for when we call you:
- Patient demographics (Date of Birth, Address, Phone Numbers, Emergency Contact)
- Insurance Information (Please have insurance card available)
- Basic medical information and history (type of diabetes or endocrine disorder, most recent A1C results, current medications, insulin usage, etc)
Page last updated: May 14, 2013