Patient Resources & Forms


Use one of these options to refill or renew a prescription:

  • Log into the Healow patient portal to request a refill or renewal online.
  • Call us at (978) 635-8700. Follow the prompts to the pharmacy refill line.

Please allow three business days for refills and renewals. In order to provide high-quality clinical service, Acton Medical reviews medical records to determine if a follow-up visit or medication adjustment is needed before refilling the prescription at the patient’s pharmacy of choice.

Prescriptions for controlled substances must be picked up in person, and patients are required to present a valid ID.

Test Results

Many test results are ready in a day or two. The reporting process for complex testing takes approximately two weeks. Your results will automatically be reported to you after they are reviewed by your physician.

Please log into Healow to view the following test results:

  • Lab
  • X-ray
  • Pap smear
  • Cholesterol
  • Hemoglobin A1C
  • Bone Densitometry
  • PSA
  • Mammograms, which are reported by Emerson Hospital

Adult Medicine Forms

Authorization to OBTAIN Medical Records FOR Acton Medical
Authorization to RELEASE Medical Records FROM Acton Medical
Notice of Privacy Practices
Massachusetts Health Care Proxy
Consent to Disclose Health Information – HIPAA

Pediatric Forms

Patient Portal Proxy Form
Modified Checklist for Autism in Toddlers (M-CHAT)
Pediatric Symptoms Checklist
Pediatric OTC Medication Dosing Tables
Massachusetts Health Care Proxy (for patients 18 years and older)

Health Links and Resources

Living with a Cognitive Impairment Diagnosis Resource Booklet
Internal Medicine Web Resources
Health Tools /Calculators – Low Dose Lung Cancer Screening
Pediatric Web Resources
Understanding Your COVID-19 Isolation & Quarantine Responsibility

Pediatric COVID Vaccine Clinic Dec. 18 & Jan. 15 Click Here to Learn More