Visiting Dana-Farber? See our prescreening and mask requirements.
Please note that some translations using Google Translate may not be accurately represented and downloaded documents cannot be translated. Dana-Farber assumes no liability for inaccuracies that may result from using this third-party tool, which is for website translation and not clinical interactions. You may request a live medical interpreter for a discussion about your care.
If you are applying for a leave of absence from your place of work, either because of your medical condition or to assist a family member with their medical condition, you will need to complete paperwork for a Short or Long Term Disability claim from an insurance provider, or for the Family Medical Leave Act (FMLA). Your request will be processed by a Disability/FMLA Coordinator at Dana-Farber in the Health Information Services (HIS) department.
For disability claims, please follow these steps:
For FMLA claims, please follow these steps:
You can provide us your paperwork in person or send by mail, fax, or email:
Mail: DFCI Health Information Services450 Brookline Ave., OS229 Boston, MA 02215 FAX: Attn HIS: 617-394-2647 Email: correspondence_roi@dfci.harvard.eduIn person:
We will coordinate with your physician to provide your insurer/employer with the information necessary to process your claim/leave request.
If you have any questions or would like an update on the status of your request, please call our Disability/FMLA Coordinators at 617-632-2955 (select OPTION 2 after the prompt). Each request can take a minimum of 14 days to process.
Please note: Requests for Medical Records are processed separately. HIS will forward requests for medical records to the appropriate department. Get complete Medical Records information.
For the status of your medical records request, please call 617-632-2955 (select OPTION 1 after the prompt).
Commonly requested forms
What to expect once submitted
After we receive all of your required documents, each request takes a minimum of 14 days to process. Once completed, we will send you an electronic copy of your forms through Patient Gateway, or to the authorized recipient. If you do not have a Patient Gateway account or a signed authorization, the completed documentation will be sent via mail to the address on file with Dana-Farber.
New Patient Appointments
For adults: 877-442-3324For children: 888-733-4662