New Patients

*Please note due to the high load of new patients, all new patient registrations are a two-week turnaround process.

*Please note, all necessary documents (New Patient Intake Forms, Insurance Card Copy, & Previous Medical Records from your child’s previous doctors office) are required to complete the registration process. Please submit all requested documents at the same time to expedite the registration process. Registration will not be fully completed unless all necessary information is obtained.

If you wish to transfer your care to our practice, please complete the attached forms below. Once completed, please submit them back with a full copy of your child’s previous medical records and insurance card. Attention to: Anesa Tmusic, New Patient Coordinator Atmusic@mgb.org

The current providers accepting new transferring-in patients:

Dr. Laurel Gaffin (Accepting patients beginning Fall 2024)

Dr. Tracey Daley

Dr. Michael Ma (Currently booking out into 2025 calendar year for all new patients.)

Dr. Caitlin King (Currently booking out into 2025 calendar year for all new patients.)

• • • Patient Information Form
    • Insurance Waiver Form
    • Authorization for Vaccine Administration
    • Family History Summary
    • Medical History Form

We request that you obtain and provide a copy of your child’s full previous medical records for our physicians to review prior to scheduling any future appointments. (This would include all previous office notes, immunization history growth charts, lab results, etc.) This will afford you the best possible medical care. We must have your child’s previous vaccination records and medical records on file by the time of your visit. Ideally these will be submitted to us prior to scheduling your appointment so they may be scanned, reviewed and documented. Please note we cannot complete registration without the requested documents. Please also remember to confirm with your insurance company that we are contracted/ in-network with your specific insurance plan.

Thank you for choosing Centre Pediatric Associates, PC.

View our insurance policies

We would like to make you aware that we do not accept the following insurances:

• BCBS- HUGH P *(unless prefix is #HUA)*
• BCBS- SELECT SAVER PLAN
• BLUE- HPN or BLUE- Select Network Plans
• BMC (Boston Medical Center)-ANY & ALL BMC PLANS NOT ACCEPTED
• BMC/MASSHEALTH
• CIGNA LOCAL PLUS / CIGNA LOCAL PLUS IN (eff:01/01/2018)
• FALLON-MASSHEALTH
• FALLON-DIRECT CARE
• HPHC-BIDMC SELECT PLAN
• TUFTS- SPIRIT PLAN
• TUFTS TOGETHER (eff: 03/01/2018)
• WELLSENSE-MASSHEALTH
• HPHC QUALITY HMO (eff: 7/1/2024)