https://www.mass.gov/doc/fillable-section-12-form/download
The antidote to hate is unconditional love. Love is very filling no matter how it is served. Anything that is NOT served with love will leave you empty ~Dr. J~
"If you plan on being anything less than you are capable of being, you will probably be unhappy all the days of your life."
Abraham Maslow
If you or anyone you know needs mental health treatment, please complete the secure forms below and they will be transferred directly to our secure electronic platform. A clinician will review the services you are inquiring about and get back to you to set up an appointment if we are able to meet the individual treatment you deserved. Thank you for making Beautiful Mind PMHS your mental health services of choice. It is and always will be an honor to serve you and thank you for the trust you have in us.
Please note: New patient initial visit must be scheduled by staff after sending us the completed forms.
Legal Forms for Acute Mental Health Care Treatment
Existing patients may request a follow-up visit from the two main providers below or through the patient fusion portal.
Outside hospitals planning the discharge of a current patient may also look for availability below. If none is available and the patient needs a follow up sooner than a month, please call: 781-964-1266
BMPMHS practice participates with many, but not all insurance plans. It is your responsibility to contact your insurance company to verify that we participate with your plan and the provider you will be seeing is in network with them. It is also your responsibility to provide accurate insurance information prior to the service. If you do not have your up-to-date insurance information, we will reschedule your appointment or classify your appointment as self-pay. Telehealth services may not be covered by all insurance plans. If your insurance does not cover the Telehealth visit, you will be considered self-pay and our published self-pay fee will apply. Non-covered Telehealth visits will be the patient’s responsibility.
Average Cost Per Session: $100 - $300
No Call / No Show Fee: $100
Co-pay, deductible amounts, or private pay is due on the day of your visit.
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