Patient Resources/FAQs

Forms

Authorization to Release Medical Information FROM Tewksbury Family Health
Authorization for Release of Medical Information TO Tewksbury Family Health
Consent to Treat & Office Policy
Adult Medical History Form
Pediatric Medical History Form
Medicare Annual Wellness Questionnaire

Lowell General Hospital conveniently offers outpatient services at many locations in and around the Greater Lowell area. Please click the link below for a full list of locations and services provided.

Patient Service Centers // Lowell General Hospital

Insurance & Billing

BILLING POLICIES

Thank you for entrusting us with your care as we strive to serve you as personally and efficiently as possible. To meet this goal, we need your assistance. Please inform us immediately of any changes with your insurance plan or medical coverage. We will need a copy of the insurance card and effective date in order to properly bill for services.

CO-PAYMENTS

If your insurance requires a co-payment, it is due at the time of your visit. It is not our policy to bill for co-payments. For your convenience, we accept MasterCard and Visa, cash, checks and debit cards.

DEDUCTIBLES

If you know you have a deductible, payment is due at the time of your visit. If you do not know your deductible, please call your insurance company.
Statements will be sent to address any balances not covered by your insurance plan, e.g. co-insurances, or other non-covered charges, and are due upon receipt.

OVERDUE PAYMENTS

If you have an overdue balance, please remit payment immediately to avoid further billing charges and collection efforts. You may not be able to schedule an office visit, except in an emergency, if you have a payment due which has not been addressed. Any balances greater than ninety (90) days in arrears will be turned over to a collection agency if not addressed. Payments can be made over the phone with a credit or debit card.

We accept most insurance plans including the following. If you do not see your plan listed, please call our office for confirmation that we take your insurance.

Having trouble with prescription drug cost? Use this resource guide to find out ways you can save on your monthly medications. Patient Resource for Prescription Cost Savings

Tufts Medicine at Lowell General – Patient Portal 
***NEW PATIENT PORTAL***

How do I leave a message for the provider to call me back?

If you have a medical question that our clinical staff cannot answer and does not require an office visit, we will be happy to take a telephone message for the provider. We will ask you to provide as much information as possible, in order for the provider to best be prepared to respond. We make every effort to return non-urgent phone calls on the same day.

Can I schedule a same-day appointment with your office?

Yes. Each day we set aside same-day sick appointments. If we do not have a time that works with your schedule, we can get you in the next day for non-emergency situations. Please be aware that you may need to schedule a same-day appointment with any one of our providers based on availability.

What is your cancellation policy?

Your scheduled appointment is a time that is reserved just for you. If you are unable to keep your appointment, please let us know 24 hours in advance. For new patient and physical appointments that are cancelled with less than 24 hour notice there is a $50 fee. For follow-up appointments that are cancelled with less than 24 hour notice there is a $25 fee.

What if I am not Feeling well After Hours or during the weekend?

For life-threatening emergencies please call 9-1-1. Before visiting the Emergency Room, please call our office as we may have same-day sick appointments or are able to help you over the phone.

Circle Health has four Urgent Care Centers conveniently located in the Merrimack Valley. All locations serve children, adolescents, and adults.