MIT Medical will open at 10 a.m. on Thursday, April 18, due to a departmental meeting.

Home
Contact us

Use the form below to ask questions or send feedback. You cannot use this form to communicate with your provider or request appointments. Do not use this form to communicate personal data or confidential medical information. Do not use this form in an emergency situation.

Contact us

* Required

My question / comment is about ... *

Have a question about medical records? Get your answer now in our Medical Records FAQ.

Have a question about HealthELife? Check out our FAQ.

Have a question about the medical report form or prematriculation medical requirements? Get the answer right away in our Student Medical Report Form FAQ.

Have a question about the student waiver? Get an answer immediately in our Student Waiver FAQ.

Looking for information on how to get a flu shot on campus or in Lexington? Learn how. Want more info on this year’s vaccine or on the flu virus? See our FAQ.

Name

Email Address *

Name of MIT Medical employee you are nominating *

Reasons you are nominating this person. Tell us why you are nominating this person, and give examples of how he or she has done a spectacular job of making you feel valued, respected, listened to and cared for. All MIT Medical employees are eligible to be nominated.

Your Message (Do not use this form to communicate with your provider or request appointments. Do not use this form to communicate personal data or confidential medical information): *

Need a 1099-HC form? The form comes directly from Blue Cross Blue Shield of Massachusetts, and if you need a physical copy of the form, you’ll have to call them at 1-800-882-1093 to request it. But if you are filing electronically, and you know the dates of your coverage, the only other information you will need is the following:

Name of insurance company: Blue Cross Blue Shield of Massachusetts
FID number of insurance company: 96-0000061