Child Cognitive Behavior Therapy Intake Form

Thank you for your interest in the Mass General Child Cognitive Behavior Therapy Program. Our program delivers short-term problem-focused skills based therapy to patients ages 3-24 years, with a variety of issues including anxiety, depression, ADHD, and other difficulties. Our intake process helps determine whether our program is best suited to meet your child's needs, and will allow us to understand more about the children and families who are seeking care in our program. To begin the intake process, please complete the information below. We estimate that it will take about 5-10 minutes to complete.

Due to the high volume of patients we currently have a waiting list. You may need to wait up to several months for an initial evaluation.

PLEASE NOTE THAT THE CHILD CBT PROGRAM IS NOT AN URGENT CARE FACILITY.
If you are seeking care for your child that is more urgent, and cannot wait a week to hear back from us, we are most likely not the appropriate referral for your child. If your child needs urgent psychiatric care, we would advise you to contact your nearest emergency room, or to talk to your child's pediatrician about referral to a clinician who might be able to evaluate them sooner.

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