Insurance & Forms

Contact Info

Phone: 978-808-7003

Fax: 978-735-4586

info@kellieberrynutrition.com


Insurance

Most insurances are accepted including:

  • BCBS HMO/PPO
  • AETNA
  • Allways
  • Harvard Pilgrim Health Care
  • Unted Health Care
  • Neighborhood Health
  • Cigna
  • Unicare
  • Tufts
  • Massachusetts General Brigham Health Plans
  • WellPoint
  • Medicare


Private pay rates also available.


Our dietitians hold licenses in multiple states to expand access to care, including New Hampshire, Maine, Rhode Island, New Jersey, Georgia, Missouri, New York, Texas, Colorado, and California.

Downloadable Forms

We currently offer in-person and secure virtual appointments for your convenience. Please call or email to make an appointment or talk to us about your needs. After your appointment has been scheduled, please download and return the following insurance forms.


Insurance Form
Consent to Treat
Release of Information


To return the form, you can either:

  1. Print, complete, and fax the form to 978-735-4586
  2. Print, complete, and mail the form to our Chelmsford Office (address below).

Locations

Chelmsford Office

2 Courthouse Lane, Unit 10

Chelmsford, MA 01824

Cambridge Office

1679 Massachusetts Ave

Cambridge, MA 02138

Foxboro Office

34 School Street, Suite 104

Foxboro, MA 02035