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Intake Form and
Onboarding Steps

First time here? Please scroll down and review the step-by-step onboarding instructions before getting started to ensure your forms are completed and submitted correctly.
Date of birth
Year
Month
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Please tell us if you received a call from us advising that you had been assigned by the Need a Family Practice Registry. This will help us allocate your form to the correct onboarding team.

Please upload documents or images only.

Step 1

Create Your Brookline Cares Member Account

Before you can submit your onboarding information, you must create a Brookline Cares Member Account. If you already have an account, simply sign in before continuing.

Step 2

Download the Patient Intake Package

Download our New Patient Intake Package using the button below. The package includes your Patient Intake Form as well as important clinic agreements and consents that must be reviewed and completed. Each member of your family requires a form so that we can build everyones file. 

Step 3

Complete the Entire Package

Please complete all applicable sections of the intake package. Take your time and provide as much information as possible. The information you provide helps us create your medical record and gives your healthcare team important information about your health history, medications, allergies, previous care and current healthcare needs. Please remember to complete all required signatures and consents.  For children only the parent must sign. If you have questions about either of the consent documents, please discuss this with the doctor during your intake visit. We recommend using Adobe Acrobat Reader (free version) for completing the downloaded form which allows you to sign the required fields directly on the form easily.

 

All signatures must be completed freehand. Typed, pre-filled, or automatically generated signatures will not be accepted.

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Step 4

Save Your Completed Package

If you completed the PDF electronically, save the completed document to your computer or device. If you printed and completed the package by hand, please scan all pages into one PDF document before uploading it. Please do not upload individual pages separately.

Step 5

Complete the Online Onboarding Information

Once you are signed into your Brookline Cares Member Account, complete the required onboarding fields below.

Please ensure the information you enter is accurate and matches the information provided in your Patient Intake Package.

Step 6

Upload Your Completed Patient Intake Package

 

Use the secure upload field below to attach your completed Patient Intake Package. Before submitting, please make sure you have attached the correct document and that all pages are included and readable.

Step 7

Submit Your Onboarding Request

 

Once you have completed the required fields and attached your intake package, select Submit. Your information will be sent directly to Brookline Collaborative Care Clinic for processing through our secure website.

What Happens Next?

 

Our team will review your submitted information and continue setting up your patient record. Please allow us time to process your registration, particularly while we are onboarding a high volume of new patients. We will contact you if additional information is required or when there are further steps you need to complete. 

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You only need to submit your onboarding package once. Please do not submit duplicate forms for the same individual unless a member of our team asks you to do so.

Steps to Onboarding

Reach Out

Need Help With Your Onboarding?

**Remember before You Begin: You must be signed into your Brookline Cares Member Account to submit your onboarding form. If you are not signed in, the upload and submission process will not work.

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If you experience any difficulty completing the onboarding process, creating your Brookline Cares Member Account, downloading or uploading your intake package, or if you have a question about the information being requested, we're happy to help.

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Please use the contact form beside this message and provide a brief description of the issue you are experiencing. A member of our team will review your message and assist you as soon as possible.

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Please do not include detailed medical information in this contact form. This form is intended for questions or technical assistance related to the onboarding process.

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Having trouble? Just let us know—we want to make joining Brookline as easy as possible.

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