Provider Telelinks
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Walpole MA

508-734-5893


Acton MA

978-679-1200

East Falmouth MA

508-388-7493

Patient Portal

Forms and Policies

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  • Home
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    • SpravatoTreatment
    • TMS Therapy
    • OCD TMS Therapy
    • Psychotherapy
    • Medication Management and Evaluation
    • Other Services
  • Provider Telelinks
  • Resource Guides
  • About Us
    • Meet Our Team
      • NE Mental Health Team
    • Join Our Team
  • Office Locations
  • Contact Us
  • Billing
  • FAQ's
  • Feedback

To schedule an appointment please call our office at (978) 679-1200 or use the patient portal

Patient Portal

New Patient Forms

Release of Information / Consent Forms

Miscellaneous

Adult Intake Questionnaire


Adult Mental Health Screen


Parent Intake Questionnaire


Child / Adolescent Psychiatry Screen


Teacher Cover Letter


Teacher Check List


Brief Psychiatry History Form


PHQ-9


BDI-II

HIPAA Designation of Personal Rep Form


Assignment of Insurance Benefits


Authorization for Credit Card Use


Authorization to Release Health Information


Informed Consent for Therapy


Informed Consent for Medication Mgt Between Parents



NECHM Billing Policy


NECHM Cancellation Policy


Patients Rights and Responsibilities


Privacy Practices Acknowledgement and Consent

New England Center for Healthy Minds


Our Locations:


289 Great Road, Suite G1
Acton, MA 01720


178 Teaticket Hwy Unit 4

East Falmouth MA 02536


1600 Providence Hwy, #145

Walpole, Ma 02081



Office Hours

Monday : 9:00 am - 5:00 pm

Tuesday : 9:00 am - 5:00 pm

Wednesday : 9:00 am - 5:00 pm

Thursday : 9:00 am - 5:00 pm

Friday : 9:00 am - 3:00 pm


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New England Center  for Healthy Minds, All Rights Reserved 2021 All data and information provided on this site is for informational purposes only. New England Center  for Healthy Minds  makes no representations as to accuracy, completeness, correctness, suitability, or validity of any information on this site and will not be liable for any errors, omissions, or delays in this information or any losses, injuries, or damages arising from its display or use. All information is provided on an as-is basis.

In Acton Contact us

(978) 679-1200

Fax: (978) 274-2032


In Falmouth Contact Us

Office 508-388-7493

Fax 774-612-3026


In Walpole Contact us

 Contact us

(508) 734-5893

Fax: (508) 660-7493




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