New Appointments

Please note that not all therapists are providing in-person visits at this time. See below for information.

Legal Name (as registered with your insurance company) *

First Name Last Name

Preferred Name

First Name Last Name

DOB *

Gender

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Known Mental Health Diagnosis

Are you seeking medication evaluation from us? We do not conduct medication evaluations. Please contact your insurance company for a referral. *

No

Primary Reason for Appointment *

Name of Guardian Completing Form if Applicable

Please read these instructions carefully and completely.

Below are the therapists who are currently accepting new patients. Please select the one you'd like to see and we will contact you to make an appointment with that therapist. You may select more than one.

Click here to view therapists' profiles.

Select Pam Criswell, LMHC

Teletherapy and In-Person

Only accepting new patients who have been pre-screened by therapist.

Pam Criswell accepts the following insurances

Boston

Select Sarah DeCelles, LICSW

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Sarah DeCelles accepts the following insurances

Boston

Select Hadar Lutman, LICSW

Teletherapy and In-Person

Only accepting new patients who have been pre-screened by therapist.

Hadar Lutman accepts the following insurances

Boston

Select Jeff Pesaturo, LMHC

Teletherapy and In-Person

Only accepting new patients who have been pre-screened by therapist.

Jeff Pesaturo accepts the following insurances

Boston

Select Nicole Ferretti, LMHC

Teletherapy and In-Person

Only accepting new patients who have been pre-screened by therapist.

Nicole Ferritti accepts the following insurances

Boston

Select Athena Weggler, LMHC

Teletherapy Only

Tuesdays: 8:00 - 9:00 am

Athena Weggler accepts the following insurances

Boston

Select Dan Halloran, LICSW

Teletherapy Only

Wednesdays, Thursdays, Fridays: 11:00 - 1:00 pm

Dan Halloran accepts the following insurances

Boston

Select Ana dos Santos, LMHC

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Ana Santos accepts the following insurances

Boston

Select Britta Baghestani, LMHC

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Britta Baghestani accepts the following insurances

Boston

Select Barbara Hershey, LICSW

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Barbara Hershey accepts the following insurances

Boston

Select Emily Eldar, LMHC

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Emily Eldar accepts the following insurances

Boston

Select Marjorie Thomsen, LICSW

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Marjorie Thomsen accepts the following insurances

Boston

Select Constance Lum, LICSW

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Constance Lum accepts the following insurances

Boston

Select Kate Schiffman, LMHC

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Kate Schiffman accepts the following insurances

Boston

Select Brendan Clarke, LMHC

Teletherapy Only

Only accepting new patients who have been pre-screened by therapist.

Brendan Clarke accepts the following insurances

Boston

Select Cassandra Xanthos, LICSW

Teletherapy and In-Person

Only accepting new patients who have been pre-screened by therapist.

Cassandra Xanthos accepts the following insurances

Boston

Insurance Member ID/Subscriber Number *

Please upload a photo of the front of your insurance card.

Were you in contact with the therapist you selected and he/she asked you to make an appointment? *

Yes No

Please give us some dates and times that you are available. *

If you are a referring provider, please give us your name and contact information. If you are not, please enter "N/A". *

Please let us know if there is anything else you'd like to share with us (disability accommodation, language needs, etc.).

You may securely upload any pertinent patient information.

How do you prefer us to contact you? *