Our Main Location
Patient Resources
New Patient Forms
- Patient Registration Form
- Medical History Form
- Patient Financial Policy Form
- Assignment of Benefits Form
- Communication Consent Form (optional)
- Permission to Treat Minors (if applicable)
- Emerson Connect Portal Sign Up (recommended)
- Notice of Privacy
Other Patient Forms
- Permission to Treat Minors
- Release of Medical Information
- Short-Term Disability Consent Form
- Baby Photo Authorization Form
- Emerson Hospital Birth Certificate Registration
- Communication Consent Form
Billing & Insurance
- Patient Financial Policy
- Contact our billing department at 978-371-0302 x 202
- We accept most major insurance plans including the following:
- Aetna
- AllWays Health
- Blue Cross Blue Shield
- Cigna
- Fallon
- Harvard Pilgrim Healthcare
- MassHealth
- Medicare
- Tricare
- Tufts
- Tufts Public Plan
- United Healthcare
Laboratory Services at Concord OB/GYN
Laboratory services are provided by Emerson Hospital for you convenience on site at Concord OB/GYN. All lab work, pap smears and pathology specimens are processed by Emerson Hospital who will submit a claim to your insurance for the processing of your specimen.
Ultrasound Services at Concord OB/GYN
For your convenience, ultrasound services are available on site in our Concord location. Ultrasound services are provided by a Premier Ultrasound Services certified sonographer who will perform your ultrasound exam in the office. The images taken at your ultrasound exam are read by radiologists at Schatzki Associates, Inc radiology group. Both parties will submit a claim to your insurance for their respective part of your ultrasound exam.
Helpful Links
- ACOG.org - for Patients – American Congress of Obstetricians & Gynecologists
- FirstConnections.org – A non-profit, family support organization providing comprehensive services to families with infants & young children in metro-west communities.
- ImmunizationForWomen.org – 2013-2014 Flu Season Immunizations
- La Leche League – Breastfeeding support & information for mothers
- Mayoclinic.org – The Mayo Clinic's website.
- Womenshealth.gov – Empowering women to live healthier lives.
Patient Portal
