For your first visit, please download and complete the following forms. Please send them in via fax (617.507.5909) or email (firstname.lastname@example.org) at least 24 hours prior to your visit.
- New Client Profile (1 per couple)
- Consent for Purposes of Care, Payment, and Operations (1 for each couple- if you completed this upon booking, we do not need another copy)
- Current & Desired States Worksheet (1 for each partner)
- Used to acquire medical records from another provider to provide to Dr. Chasse OR
- Used to acquire medical records FROM Dr Chasse for yourself or another provider
Please note, most medical records are immediately available to you by logging into the patient portal. (email and password you set up when you booked initial appointment)