Make an
Appointment
"The universe is so compassionate; it allows you to draw in what you need in order to heal yourself."
Oprah Winfrey
   607 Boylston St—2nd Floor—617 266 2266—Corner of Boylston and Dartmouth at Copley Square—email
 
       

Make an Appointment

If you would like to set up an intake appointment, fill out the form below. You will be contacted by a clinician to set up an initial phone/email intake.

Name:
E-mail:
Phone:
The information below is optional. However, the more information you can provide, the better we can connect you with an appropriate clinician.
Brief description of problem:
I am looking for:
Days and times you are regularly available:
Therapist preferences (Gender / Age / Spanish speaking / LGBT friendly / etc.):
Insurance Company:
Insurance ID Number:
Date of Birth:
Mental/Behavioral Health phone number on back of insurance card:
Anything else that would be helpful for us to know:
Press Finished when you have completed this form.