COVID-19: Changes to Visitor Policy + Keeping You Safe

Middlesex Health facilities are currently closed to visitors, with several important exceptions. // CURRENT VISITOR POLICY

Middlesex Health is open and providing patient care, in-person and through Virtual Visits. We are continuing to perform all scheduled elective surgical procedures.

See how we're going above and beyond to keep you safe. // HERE FOR YOU
All surgical patients will be tested for COVID-19 prior to their procedure. A patient navigator will contact you to schedule this test.
We are asking that all patients who come to our facilities for an appointment wear a face mask. // MAKE A MASK AT HOME

Forms

For New Patients

Please print and complete this form and bring it with you to your first appointment.

Request an Appointment

Please complete the form below to request an appointment for physical therapy, occupational therapy, or speech-language pathology. A member of our team will contact you to answer any questions and arrange an appointment.

Please note: We cannot process emergency requests from this form. If you are having a medical emergency, please call 911.

When you submit this form, your information will be sent to the appropriate Middlesex Health staff, who will help you schedule an appointment or complete your request.

All fields are required unless otherwise noted.

First Name

This field is required

Last Name

This field is required

Email Address

This field is required and must be a valid email

Phone Number

Must be in 555-555-5555 format

Briefly describe why you are seeking an appointment

This field is required

COVID-19: Changes to Visitor Policy + Keeping You Safe

COVID-19: Changes to Visitor Policy + Keeping You Safe

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For New Patients

Request an Appointment