Please use this form only if:
  • You have never been a patient in the Child Cognitive Behavior Therapy (CBT) Program, OR
  • You have been a patient in the Child Cognitive Behavior Therapy (CBT) Program but are seeking an appointment with a new clinical area or doctor

The Child Cognitive Behavior Therapy (CBT) Program delivers short-term, problem-focused, skills-based therapy to patients ages 3-24, with a variety of issues, including anxiety, depression, ADHD and other difficulties.Our intake process helps us understand your child and determine whether our pgoram is best suited to meet your child's needs.

After you submit the form, a representative will call you back with the information you’ll need to make an appointment. You may also speak with a representative directly Monday–Friday, 8:30 am to 5:00 pm EST by calling 617-643-9898.

Important note: Some questions on this form may appear or disappear based on your responses.

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Please call 911 if you are experiencing a medical emergency.

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If you are an international patient, please complete the International Patient Appointment Form.

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