Please use this form only if:
  • You have never been a patient in the Alan and Lorraine Bressler Clinical and Research Program

The Alan and Lorraine Bressler Clinical and Research Program is dedicated to the evaluation and care of children, adolescents, and adults with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). Our intake process helps us understand the patient and determine whether our program is best suited to meet his or her 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 617-726-7899.

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.

Requestor Information

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

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Research Interest

If you are interested in potential research opportunities, please call the Pediatric Psychopharmacology and Adult ADHD at 617-724-2343 to speak to a research assistant regarding available opportunities.