Patient Intake

&

Consent Forms   




To schedule a consultation, please please complete the online intake and consent forms provided below. Typical response time is two business days. If you require assistance sooner, please contact our office at (617) 991-9151 during business hours.



New Patient Forms

Please select ONE of the age-appropriate intake forms below. Complete all required fields. Do not submit both intake forms.


                   



Review and complete ALL required consent forms listed below:


 



 





Please complete all required rating scales and screening tools listed below no more than 1-week prior  to your initial evaluation to ensure accurate and up-to-date information.





  • Mood Disorder Questionnaire (MDQ)  


  • DAST-10 Drug abuse screening 


  • AUDIT-C  



ADHD Forms - Complete prior to your scheduled ADHD evaluation



  • Adolescent ADHD Self-Report Scale


  • DSM-V ADHD Symptom Checklist





Medication Consent Forms - Patient Specific









  • IV infusion / Injection Therapy Consent Form







Optional Forms:






Online Referral Form
FAQs

  • Why should I choose Aspire Medical Group?

    Aspire Medical Group is a premier Massachusetts-based mental health service, offering treatment and advice for a variety of issues for our clients. 

    Our mental health service provides by-appointment compassionate and totally non-judgemental treatment and assistance. We offer among the best mental health services in the Canton, MA area, and are always looking for new patients to help. 


    While we can't provide walk-in or crisis sessions at Aspire Medical Group, our mental health service offers a wide variety of therapy or treatments for issues such as depression & anxiety, traumas, or ADHD. Our treatments are scientific and up-to-date while simultaneously remaining patient-oriented and deeply compassionate to everyone's unique problems. So if you need mental health services, please consider signing up with us today via email, form, or phone call. Reaching out to a psychiatrist is never a weakness, seeking help is a moment of strength.

  • How should I contact you?

    Submit a contact form by clicking on REQUEST APPOINTMENT or call us to schedule an appointment. If you have a specific question regarding our services, please use the contact form for the fastest response.

  • Do you offer crisis service or walk-ins?

    We do NOT offer walk-ins or crisis services. If you have an emergency, DO NOT CALL THE OFFICE, CALL 911 INSTEAD. We recommend you visit an Emergency Room for any emergent or crisis situations, as they do not require an appointment and will take walk-ins and provide crisis services. There are NO on-call providers or appointments at our offices after hours.


  • What are your fees?

    Please confirm your insurance coverage with our office staff prior to scheduling an appointment. We do not provide free services. Telehealth appointments are still medical appointments and will be treated as such (including paying balances upon services rendered).


    We offer assistance to individuals on a case-by-case basis. Payment plans, sliding fee scale, and assistance with specialty medication discounts are available.

  • Will the cost of treatment be covered by my insurance plan?

    We take a variety of insurances in MA and NH, as well as private pay (Cash, debit, all major credit cards). Your balance is due at your scheduled appointment (if the balance is not paid in full; the appointment will be rescheduled). For more information, please call our office at 617-991-9151

  • How long will my appointment last?

    Initial psychiatric evaluation appointments are one hour long. Most follow-up sessions are 15 to 30 minutes, but may be scheduled for longer to best serve the needs of the individual patient.

  • What will happen during my first appointment?

    A review of your psychiatric history, presenting symptoms, current medications and lifestyle will be discussed during the initial psychiatric evaluation. The provider will gather the required documentation to adequately assess, diagnose, and treat the patient.


    The patient will be given treatment recommendations and discuss potential side effects, efficacy, and duration of treatment. The provider will develop a treatment plan that best suits the needs of the patient. The patient has the right to refuse treatment or inquire about alternative treatment options. If it is outside the scope of our practice or a higher level of care is warranted, we will provide referrals to a provider or facility that can better serve your needs. 

  • How often do I have to follow up with my provider?

    Most follow ups occur between 1 week to 2 months. Rarely 3 month appointments are scheduled for patients (usually only for established patients that have been stable on medication for a prolonged period of time). 


    The frequency of appointments varies depending on the complexity case of the individual patient. Prescriptions are filled up until next scheduled appointment. Patient to contact the office if a sooner refill is needed.


  • What is a PMHNP and what can they do for me?

    A Psychiatric Mental Health Nurse Practitioner (PMHNP) is a certified advanced practice nurse that specializes in the diagnosis, treatment, and management of mental illness and psychological problems. Some provide primary therapy services.


    In this setting, the  PMHNP's primary role would be to recommend, prescribe and manage medications when appropriate and review risks, benefits, and alternatives to medications. When appropriate, the PMHNP would order and review labs. 


    At our practice, the PMHNP primarily provide medication management and occasionally, supportive therapy. Oftentimes, patients would also work with a therapist for therapy sessions. We have a relationship with several area therapists and can provide referrals to established patients.