Request an Appointment

Interested in learning more or ready to take the next step?

Give us a call at (617) 259-1895 or fill out our quick, easy online intake form below. We're here to help.

The fastest way to find out about availability is to complete our online intake form. You will need your insurance information, including your ID number.

Once you have successfully submitted the intake form it will be reviewed by our Intake Department staff who will attempt to match you with an appropriate clinician. We strive to provide excellent service and will endeavor to contact you as soon as possible, usually within two business days. Please note that submitting this form does not guarantee an appointment. If we cannot accommodate your needs, we will provide you with additional resources and referrals.

Online Form:

Email/Internet Privacy Notice:

While unlikely, I accept that a breach of my privacy could occur when sending this information over the internet and/or when communicating by email and I am willing to accept that risk. I also understand that I have the option of printing this form and faxing it in or calling the office. For information on how we protect your privacy, please click here to view our privacy policy.

You may Print Intake Form PDF & fax to (617) 259-1899.

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