Call (978) 222-3121

For New Clients

Please complete ALL of the forms in this section, and bring them to your first appointment:

Click here (first) for the Registration Form (online form).

Notice of Privacy Policy
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Electronic Communication
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If you are new to our medication management program please complete the two forms below, and bring them to your first appointment.

Medical History Form
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Psych Meds Policy
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If you would like us to coordinate care with another provider, complete the Authorization to Release Information form below. You can use the Restrictions on Communication form (below) to specify certain information that you do not want to be shared.

Click here for the Communication Authorization (online form).

 

If you need all or part of your counseling record. ​Please allow 4-5 business days to process.

Record Request Form
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Insurance Update Form

Please complete the form below if you are an existing client, or if you are a new client who has been instructed to provide additional insurance information.

Insurance Update Form