Patient Resources

"We bring help home."

How to Make an Appointment

Here are the steps for booking your first telehealth appointment.

Setup Your Appointment

Request your first appointment by calling our office at (617) 291-6443 or through the online form on the Appointments page.

Complete the Forms

Once your appointment time is confirmed please complete your Intake and Consent forms below.  All forms are secure and HIPAA compliant and ensure your privacy.

Meet with Your Doctor

You will receive a link from your doctor to a secure Zoom meeting room that the two of you will use during your session.

Session Payments

For your convenience, you can pay for your session anytime prior to it.  Otherwise payment will be requested at the start of your session.
Payments can be made here.

Patient Forms & Payments

Please complete the following forms prior to your first telehealth appointment.

Patient Intake Form (Adult)

This questionnaire gathers important information about a patient’s medical history, current symptoms, and personal background. This form allows psychiatrists at Boston Psychiatric Alliance to better understand their patients’ needs and develop tailored treatment plans.

Patient Intake Form (Child)

This questionnaire gathers important information about a child patient’s medical history, current symptoms, and personal background. This form allows psychiatrists at Boston Psychiatric Alliance to better understand their patients’ needs and develop tailored treatment plans.

Consent for Telehealth Treatment

Telehealth involves the use of electronic communications to enable health care providers to provide patient care through the means of live two-way audio and/or video. The purpose of this form is to obtain your consent to participate in a Telehealth consultation for various medical conditions/illnesses.

HIPAA - Consent and Release

Our Notice of Privacy Practices provides information about our use of a patient’s protected health information. The Notice contains a Patients Rights section describing your rights under the law. Patients have the right to access, inspect, and copy protected health care information used to make decisions about them.

Contract for Prescription of Controlled Medication

Complete the consent form for a contract for prescriptions to ensure that Boston Psychiatric Alliance can provide you with the best-tailored treatment plans based on your medical history, symptoms, and personal background. 

Secure Online Payments

Initial Evaluation - Adult

$550.00

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Initial Evaluation - Adolescent

$650.00

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All Follow-Up Visits

$200.00

Pay now