Referrals

Due to the complexity of the referral process within each insurance company, please allow 10 business days to complete each referral.

Village Family Medicine is affiliated with Lowell General Hospital. All referrals and specialist appointments will be confirmed with doctors within our network. All visits must be pre-approved by your PCP. Any visits with specialists not within our network may not be allowed and the cost of that appointment will be your financial responsibility.

Please call the office BEFORE you schedule an appointment with a specialist.

To request the referral, you will need to provide the following:

  • Patient’s Name
  • Date of Birth
  • Insurance Specialist Name
  • Specialist NPI # – National Provider Identification Number
  • Specialist Telephone Number & Fax Number
  • Reason for Your Visit
  • Date of Your Visit

Last-minute requests may affect your financial responsibility for that appointment.

As a reminder you can always request referrals online through our Patient Portal!

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Access our PowerChart Patient Portal