Patient Portal

Please download all required documents for your visit, print and fill out BEFORE you arrive at clinic.

Please note: Some users have experienced issues with these forms when using mobile devices/cell phones. To save time and improve your experience, we highly recommend that you use a laptop or desktop computer to complete the fillable forms.

1. You will need Adobe Reader on your device to fill out the forms. Please download Adobe Reader in order to fill out the clinic forms prior to your clinical visit.  
   
   
2. Please choose the patient's age and complete the corresponding forms prior to your clinic visit. Please note some age groups will require forms from both the patient and the patient's parent. 
   
   
3. Once the clinic forms are filled out, please save the completed forms on your device.  
   
   
4. To submit your forms, please attached your completed clinical forms to an email addressed to: DMDprogram@umassmemorial.org    

If you have any questions, please contact a DMD Staff member by email or phone (774) 441-7615  

Forms will need to be returned to the clinic 24 hours prior to your scheduled clinical visit.