I am: over age 18 and seeking care for myselfa parent or guardian acting on behalf of a minor Sex and Gender Date of Birth * Email * Phone Number * How did you find our practice? * Why are you seeking psychiatric care? * Have you ever been hospitalized for psychiatric reasons? If so, when and for what reason? * Please list current medications and medical concerns: * Current psychiatric diagnoses: * What times and dates are you best available for appointments? * Any additional details you would like to share? * If you are currently experiencing suicidal thoughts or a life-threatening emergency, please contact 911, 988, or visit your nearest emergency room. You can also contact the Massachusetts Behavioral Health Helpline at 833-773-2445 depending on the state you're in. Please note that this mailbox is not monitored in real-time.
