Patient Resources/FAQs

Welcome to Merrimack Family Medicine!

Merrimack Family Medicine (MFM) is affiliated with Lowell General Hospital.  All referrals and specialist appointments will be confirmed with providers within our network. All visits must be pre-approved by your PCP. Any visits with specialists not within our network may not be allowed and the cost of that appointment will be your financial responsibility.

Not sure if your specialist is allowed? Please call the office BEFORE you schedule an appointment.

** The Consent to Release Medical Records form must be completed and forwarded to your previous provider’s office. Copying and sending your previous medical history can take a few weeks to process. Please send out the Consent to Release Medical Records as soon as possible.

Remember to contact your insurance carrier if you are changing your PCP prior to your first visit. This will prevent any interruptions in your appointments and/or financial responsibility for any services rendered.

Our practice has been in operation since 1988 and several of our patients have been with us since the first day we opened. We pride ourselves with excellent patient care in a warm and friendly environment.

If you have any questions, please do not hesitate to contact us.  We all look forward to meeting with you!

Forms
Consent to Treat & Office Policy
Authorization for Release of Medical Information to MFM
Authorization for Release of Medical Information from MFM
Notice of Privacy Practices
Medicare Annual Wellness Questionnaire

 

Lowell General Hospital conveniently offers outpatient services at many locations in and around the Greater Lowell area. Please click the link below for a full list of locations and services provided.

Patient Service Centers // Lowell General Hospital

Tufts Medicine at Lowell General – Patient Portal 
***NEW PATIENT PORTAL***

READ ONLY -OLD Patient Portal
Use the Health Portal above for READ ONLY access into your former patient portal.
All new requests should go through our new Patient Portal link above.

Are you or your family having trouble with prescription drug cost? Here is a guide for you to use to help you save money on the cost of your medications. Prescription Drug Cost Resource Guide

How do I leave a message for the provider to call me back?

If you have a medical question that our clinical staff cannot answer and does not require an office visit, we will be happy to take a telephone message for your provider.  We will ask you to provide as much information as possible, in order for the provider to best be prepared to respond. We try to return non-urgent phone calls on the same day.

Can I schedule a same-day appointment with your office?

Each day we set aside same-day sick appointments. If we do not have a time that works with your schedule, we will make every effort to schedule you in the next day for non-emergent issues. Please be aware that you may need to schedule a same day appointment with any one of our providers based on availability.

What is your cancellation policy?

Your scheduled appointment is a time that is reserved specifically for you.  If you are unable to keep your appointment, please let us know 24 hours in advance. For new patient appointments and physicals that are cancelled with less than 24 hour notice there is a $50 fee. For follow-up appointments cancelled with less than 24 hour notice there is a $25 fee.

What if I am not feeling well after hours or during the weekend?

For life-threatening emergencies please call 9-1-1. For all non-life threatening emergencies, please call our office before going to the Emergency Room as we may have same-day sick appointments or are able to assist you over the phone.

Circle Health has Four Urgent Care Centers conveniently located in the Merrimack Valley. All locations provide healthcare services to children, adolescents, and adults.