to read the article featured in the Worcester Telegram & Gazette.
Information for Referring Physicians
ReadyMED welcomes the opportunity to partner with you in the care of your patients when you are unavailable. In most cases, making a referral is an easy process, requiring you only to fax us the information below.
- Date of Referral
- Expected visit date (if different)
- Patient Name
- Patient DOB
- Reason for Visit/Referral
- Patient’s PCP
- Referring Provider Name
- Referring Provider Location
- Referring Provider Phone
ReadyMED accepts most health insurance plans, as well as cash, personal checks and
major credit cards. Click to see insurances we accept.
For your convenience, you can print the following sample referral form and fax it to us at 508-792-1549.
Click here for a sample referral form
You may download this version of the form and add fields that may be helpful to your practice.
Click here for a printable, non-editable pdf referral form
The following plans require payor approval. Please submit the appropriate referral request by the next business day.
Aetna HMO, BCBS HMO, BCBS Blue Choice, BCBS Network, BCBS Advantage HMO, Mass Health PCC, Tufts HMO, Tufts Medicare Preferred HMO, & Tufts US Family Health
The following plans do not require payor approval; however ReadyMED is not in network. Patients may use their Out of Network benefit which may require a higher out of pocket expense for the patient.
BCBS Advantage PPO & Tufts Medicare Preferred PPO