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Membership Cancellation Request
Thinking of cancelling your account with the practice? We’re sorry to see you go, but we understand life happens. To cancel your membership please fill out the form to submit your cancellation request. All requests are processed within 24 hours of receipt.
You will have access to your medical portal and records for 30 days after you cancel your account. After this time, you can request a copy of your records for a $15 records fee by contacting our office.
Please be aware that any outstanding medical expenses incurred may still be processed after the date of termination. If you have any questions please contact us at (617) 934-6400.
Cancellation Form
Membership Cancellation Form