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Let's Get You the Right Help
You are looking for support, and we can help. Even if you don’t know where to start or what your insurance will cover, we can help. Just tell us where you are located, and we will take it from there.
Click on your state name below.
Select Your State to Begin
- Choose the service you are looking for and complete the form to get started.
- Not sure which form to use? Fill out any form and note what you are looking for in the comments. Our team will make sure you are connected with the right service.
- Our team reviews newly submitted forms every business day (Monday-Friday) and will reach out to you within one business day to discuss next steps, verify your insurance, and connect you with the right provider for you.
ABA Therapy
For children with autism spectrum disorder seeking Applied Behavior Analysis therapy in Massachusetts.
Massachusetts ABA Therapy
Behavioral Therapy, Psychiatry & Medication Management
For individuals seeking office-based therapy, psychiatric evaluation, or medication management in Massachusetts.
Massachusetts Outpatient / Medication
Home- and Community-Based Services (CBHI)
For families seeking in-home therapy, in-home behavioral therapy, or therapeutic mentoring through the MassHealth Children's Behavioral Health Initiative (CBHI) program. This form covers all three Children's Behavioral Health Initiative (CBHI) services.
Massachusetts Children's Behavioral Health Initiative (CBHI)
Telehealth / Virtual Therapy
For individuals seeking virtual therapy through Real Help, our telehealth service in Massachusetts.
Massachusetts Telehealth
- Choose the service you are looking for and complete the form to get started.
- Not sure which form to use? Fill out any form and note what you are looking for in the comments. Our team will make sure you are connected with the right service.
- Our team reviews newly submitted forms every business day (Monday-Friday) and will reach out to you within one business day to discuss next steps, verify your insurance, and connect you with the right provider for you.
Home-Based Services
For families seeking home-based therapeutic services or ABA therapy through Rhode Island Medicaid.
Rhode Island Home-Based Services
Behavioral Therapy, Psychiatry & Medication Management
For individuals seeking office-based therapy, psychiatric evaluation, or medication management in Rhode Island.
Rhode Island Therapy
Telehealth / Virtual Therapy
For individuals seeking virtual therapy through Real Help, our telehealth service in Rhode Island.
Rhode Island Telehealth
- Choose the service you are looking for and complete the form to get started.
- Not sure which form to use? Fill out any form and note what you are looking for in the comments. Our team will make sure you are connected with the right service.
- Our team reviews newly submitted forms every business day (Monday-Friday) and will reach out to you within one business day to discuss next steps, verify your insurance, and connect you with the right provider for you.
Home-Based Services
Team members come to your home to work with children, teens, and families.
New York Home-Based Services
Behavioral Therapy & Medication Management
Individual therapy, couples counseling, and family therapy at most New York locations.
NY Outpatient/Medication
Telehealth / Virtual Therapy
For individuals seeking virtual therapy through Real Help, our telehealth service in New York.
New York Telehealth
Applied Behavior Analysis (ABA) Therapy
Coming soon!
- Choose the service you are looking for and complete the form to get started.
- Not sure which form to use? Fill out any form and note what you are looking for in the comments. Our team will make sure you are connected with the right service.
- Our team reviews newly submitted forms every business day (Monday-Friday) and will reach out to you within one business day to discuss next steps, verify your insurance, and connect you with the right provider for you.
New Hampshire Behavioral Health Therapy
Use the form below to get started with mental health therapy in New Hampshire. We offer therapy in our offices and virtually, through Real Help, our telehealth service.
New Hampshire Outpatient
Home-Based Services
Applied Behavior Analysis (ABA) services are available for children with Autism Spectrum Disorder and are provided in the home and community. We also offer home- and community-based therapy services through referrals from the Department of Children, Youth, and Families (DCYF). Please contact us for more information about these services.
New Hampshire Home-Based Services
Behavioral Therapy, Psychiatry & Medication Management
Individual therapy, couples counseling, and family therapy at most New Hampshire locations.
New Hampshire Therapy
Telehealth / Virtual Therapy
For individuals seeking virtual therapy through Real Help, our telehealth service in New Hampshire.
New Hampshire Telehealth
Virtual Therapy/Telehealth
For individuals seeking virtual therapy through Real Help, our telehealth service.
Telehealth
Medication Management
For individuals seeking psychiatric medication management through Real Help, our providers offer comprehensive evaluations, personalized treatment planning, and ongoing support to help you find the approach that best fits your needs.
Medication Management
What Happens After You Submit
Our team reviews newly submitted forms every business day. Here is what to expect after you fill out your form:
- Our team will review your submission and reach out by phone or email within one business day.
- We will ask a few questions to understand your needs and confirm which service is the right fit.
- We will verify your insurance coverage. Insurance verification is provided at no cost and does not obligate you to begin services.
- Once eligibility is confirmed, we will match you with the right clinician and get you scheduled.
- If you have not heard from us within one business day, call us directly at 774-206-1125.
Prefer to Call?
If you would rather speak with someone directly, call our main line, and our team will assist you.
Phone
Form Disclaimer
IMPORTANT: These forms are not monitored 24/7. Do not use these forms for clinical emergencies, crisis situations, or requests for medical records. If you or someone you know is in crisis, call 988 (Suicide and Crisis Lifeline) or go to your nearest emergency room. Do not include Protected Health Information (PHI) such as diagnoses, medications, or treatment history in these forms. A member of our team will follow up with you by phone or email to discuss your needs in a secure setting.
Frequently Asked Questions
Do I need a referral from a doctor?
You can always refer yourself. Fill out the form for your state above, and our team will guide you through the rest of the process.
Which form should I use?
Select the form that best matches the service in the state that you live. If you are not sure, fill out any form for your state and note what you need in the comments. Our team will make sure you are connected with the right service.
How quickly will someone get back to me?
Our team reviews submissions daily, Monday-Friday, and typically follows up within one business day. If you have not heard from us, check your spam folder or call us at 774-206-1125.
Is there a waitlist?
We work to connect families as quickly as possible. Most clients are contacted within one business day of submitting a form. Timeline to start services varies depending on the service type and eligibility steps required.
What if I am not sure which service my family needs?
That is completely fine. Our intake team is trained to help you figure out the right fit. Fill out the general referral form for your state, tell us a little about what you are looking for, and we will take it from there.
Will my information be kept private?
Yes. All information submitted through these forms is handled securely and in accordance with our Privacy Policy. Please do not include Protected Health Information (medical record numbers, dates of birth, social security numbers, for example) in these forms. Our team will follow up with you in a secure setting to discuss clinical details.
Not sure where to start?
Call us and we will help you figure it out.