Apply for DMH Adult Services

Interested in applying for DMH Adult services? Follow the instructions on this page.
Within seven (7) days of receipt of a Request for Adult Services application, DMH will contact the applicant or guardian by telephone.

DMH Application Questions

The Details of Apply for DMH Adult Services

What you need for Apply for DMH Adult Services

Individuals 19 years of age or older who request mental health services through DMH must submit the following completed forms, with signatures and dates where indicated. These forms are available for download at the bottom of the page:

  •         Request for Adult Services application.
  •         Authorization(s) for Release of Information (see page 8)

Although additional information is not required at the time of a request for services, DMH encourages applicants to submit available medical/psychiatric information. It is strongly recommended the information be submitted at the same time as the application to expedite the determination process.  Such additional information includes:

  • Outpatient psychiatric records and testing, and
  • Hospital admission and discharge reports.

How to apply Apply for DMH Adult Services

You can apply in person at your nearest DMH site office. To find the office that serves your community, you can search and click your town on our alphabetic index

To apply by mail, print and complete the following forms:

  •         Request for Adult Services application.
  •         Authorization(s) for Release of Information (see page 8)

When you have completed and signed the forms above, find your city or town on the alphabetic list, and send your application to the respective DMH Office in the list below. Please call the number listed if you have any questions.

Office

Mailing Address

Phone Number

Fax Number

Boston

85 East Newton Street, Boston, MA 02118

(617) 626-9200

(617) 626-9216

Brockton

165 Quincy Street, Brockton, MA 02302

(508) 897-2000

(508) 897-2047

Northampton

1 Prince Street, Northampton, MA 01060

(413) 587-6200

(413) 587-6240

Tewksbury

P.O. Box 387, Tewksbury, MA 01876-0387

(978) 863-5000

(978) 863-5091

Worcester

361 Plantation St. Worcester, MA 01605

(774) 420-3140

(774) 420-3165

To apply by fax, print and complete the following forms:

  •         Request for Adult Services application.
  •         Authorization(s) for Release of Information (see page 8)

When you have completed and signed the forms above, find your city or town on the alphabetic list, and fax your application to the fax number for the respective DMH Office in the list below. Please call the phone number listed if you have any questions.

Office

Mailing Address

Phone Number

Fax Number

Boston

85 East Newton Street, Boston, MA 02118

(617) 626-9200

(617) 626-9216

Brockton

165 Quincy Street, Brockton, MA 02302

(508) 897-2000

(508) 897-2047

Northampton

1 Prince Street, Northampton, MA 01060

(413) 587-6200

(413) 587-6240

Tewksbury

P.O. Box 387, Tewksbury, MA 01876-0387

(978) 863-5000

(978) 863-5091

Worcester

361 Plantation St. Worcester, MA 01605

(774) 420-3140

(774) 420-3165

Next steps for Apply for DMH Adult Services

What to expect after you submit your application?

Within seven (7) days of receipt of a Request for Adult Services application, DMH will contact the applicant or guardian by telephone.  The purpose of the phone contact will be to:

  • Acknowledge DMH’s receipt of the Request for Adult Services application,
  • Review the determination process,
  • Confirm the applicant or guardian wants to continue the determination process,
  • Assess the applicant’s immediate or emerging needs and respond as appropriate, and
  • Initiate the collection of relevant medical and other information that supports the applicant’s request for services.

Contact for Apply for DMH Adult Services

Feedback

Did you find what you were looking for on this webpage? * required
We use your feedback to help us improve this site but we are not able to respond directly. Please do not include personal or contact information. If you need a response, please locate the contact information elsewhere on this page or in the footer.
We use your feedback to help us improve this site but we are not able to respond directly. Please do not include personal or contact information. If you need a response, please locate the contact information elsewhere on this page or in the footer.

If you need to report child abuse, any other kind of abuse, or need urgent assistance, please click here.

Feedback