New Patient Information

We appreciate you choosing Marlboro Internal Medicine as your personal health partner. Your first visit is very important. A little planning ahead can save you a lot of time. For starters, this checklist can give you a good idea of what to expect.

The providers and staff at Marlboro Internal Medicine will do all we can to provide efficient check-in and minimal waiting time. There may be occasions you have to wait, and if so, please remember that you will always receive the care and attention you need from our providers and staff.

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We normally call to remind you of your appointment two days prior. It is important that you call us back to confirm the appointment. For your convenience, simply follow the instructions on your automated confirmation call to confirm or cancel your appointment. You may also use our Appointment Line during regular business hours. The Appointment Line for Marlboro Internal Medicine is 508-303-8553.
If you are scheduled for an appointment, arrive at least 10-minutes ahead of your scheduled reservation so we can complete all paperwork before your appointment time. Don’t forget to put your cell phone on vibrate or off during your visit.

Each time you visit us, please bring a photo ID and your current insurance card with you. Please check in at the self kiosk and or at the front desk and present your Insurance Card and valid ID. If you have a co-pay or a past due balance you will be able to make your payment at this time.

To expedite your appointment and save you time in the office, we have provided our patient forms below. Please print and complete each form before your appointment and bring the forms with you to your appointment.

New Patient Registration Form

Contact Information
65 Fremont Street
Marlborough, MA 01752

Phone: 508-303-8553

Office Hours
Monday: 7:30 AM – 5:00 PM
Tuesday: 7:30 AM – 5:00 PM
Wednesday: 7:30 AM – 3:00 PM
Thursday: 7:30 AM – 5:30 PM
Friday: 7:30 AM – 4:00 PM
Several times throughout the year we offer Saturday appointments from 8:30 AM – 11:00 AM.

After Hour Calls
Our providers or their assistants are on call 7 days a week 24 hours a day.

To reach our providers after hours or to see who is covering for him, please call our answering service at 508-303-8553. If you do not receive a call back in 10 minutes, please call again.

If you have symptoms that you think may be life threatening, including concerns about chest pain or stroke, please call 911 or go to the nearest emergency room. Otherwise, the answering service will page the provider when the office is closed for urgent medical matters that cannot wait until the next business day.

Please respect your providers off hour’s time by calling only for urgent medical matters, not prescription refills, referrals, etc… If you page the provider and do not receive a return call within 30 minutes, call the office and have the provider paged again.


We value our time with you and we want to make the most of it. Therefore, if you have been waiting more than 30 minutes for your appointment, let us know so we can accommodate you.

For sick visits, please call early morning in order for us to get you in same day.

For any changes to your appointment, a 24-hour advanced noticed is necessary for our office to provide optimal service to all our patients. A $25.00 cancellation-no show fee will be assessed if an appointment is missed or cancelled without adequate notice. If you repeatedly miss appointments without calling, we may choose to not continue to see you. If you are 15 minutes or more, late for an appointment, we may ask you to reschedule.

Arrive 5-10 minutes before your appointment so insurance matters can be addressed by the receptionist. Please bring your insurance card on every visit.

We kindly request that all patients bring a current insurance card(s) and photo ID to every visit. This will enable us to have up-to-date and accurate billing information in our system.

All payments are expected at the date of service. We are often able to work out special payment plans for patients with extenuating circumstances.

At this time we DO NOT accept the following insurance plans (last updated January 2018):
• Fallon Direct
• Fallon with Mass Health
• Celticare
• Harvard Pilgrim Focus
• Health Safety Net
• AARP Medicare complete
• Tufts Health Spirit Plan
• Tufts Medicare Preferred HMO

For further assistance regarding insurance or billing please contact our office at 508-303-8553 between the hours of 9:00am and 3:00pm Monday, Tuesday, Thursday and Fridays. Existing patients who are web-enabled may also contact us regarding billing via their Patient Portal account.

Proof of Insurance
Please present your valid insurance card at each visit. If your claim is rejected due to incorrect insurance or coverage not in effect, then you are responsible for the charges. If we are unable to verify your insurance at time of visit, you are considered a Self Pay and you are responsible for payment at time of the visit.

Co-Payments and Deductibles
Co-pays are due at time of appointment. It is your responsibility to know your insurance plan. All co-insurance, deductibles, and non-covered expenses will be paid in accordance with our office policies.

Claims Submission
We will submit claims on your behalf to your insurance company for payment. Your insurance company may require that you supply certain information directly. It is your responsibility to coordinate your benefits with your carrier. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.

Coverage Changes
If your insurance changes, please notify us before your next visit, so we can update your insurance information in our system. Providing us with this information prior to your visit will reduce your wait time. We will also do our best to verify your insurance coverage prior to your visit to minimize surprises at the time of visit.

Accident & Workers Comp
Although our office is happy to treat your medical conditions, if the cause is auto or work related, we ask that you fill out a form with specific information to an open claim.

Secure and reliable access to our patients’ medical records is available through our on-line electronic medical records system.

The relationship between the provider and patient is confidential and any information exchanged will be held in the strictest of confidence. Confidential medical information will be released only with the express consent and authorization of the patient.


Many HMO and POS plans require that you see your primary care physician prior to seeing a specialist; it is your responsibility to understand the rules regarding access to specialists for your specific plan. We are happy to work within these guidelines. Please be aware that electronic referrals need to be completed prior to your specialist appointment and may take up to 48 hours to complete.

To complete your request, we will need the following information:

  • Patient’s name and date of birth
  • Caller’s name and phone number
  • Patient insurance and identification number
  • Name of the specialist or facility along with NPI number
  • Reason for visit and date of appointment
  • Phone and FAX number

We will submit all the required information to the insurance company, but it is up to your insurance company to decide if the referral is approved.

Marlboro Internal Medicine is a diverse group of providers, who are fluent in many languages, including English, Hindi, Gujarati, Spanish, and Portuguese allowing us to better serve your needs.
If you have any other questions regarding your first visit to Marlboro Internal Medicine, please call us at 508-303-8553.

We look forward to working with you!
Marlboro Internal Medicine