The State Organization Index provides an alphabetical listing of government organizations, including commissions, departments, and bureaus.
Top-requested sites to log in to services provided by the state
This voicemail box is checked regularly Monday through Friday between 9am and 5pm
Applications for youth under the age of 18 who request mental health services must include the following completed forms, with parent or legal guardian signatures and dates where indicated. Applications are available to download and print at the top of this page.
To expedite the determination, DMH encourages applicants to also submit relevant medical and educational information and documents such as:
While submitting medical and educational information at the time of a request for services is not required, it is strongly recommended the information be submitted at the same time. DMH will need to review such information and will require such information at a later date.
Applications must be submitted to the office that corresponds to your city or town (see the chart below). If you're not sure where to submit your application, find your town on this page and you will be directed to the corresponding area office.
85 East Newton Street, Boston, MA 02118
165 Quincy Street, Brockton, MA 02302
1 Prince Street, Northampton, MA 01060
P.O. Box 387, Tewksbury, MA 01876-0387
361 Plantation Street, Worcester, MA 01605
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 fax, print and complete the following forms:
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.
361 Plantation St. Worcester, MA 01605
Within seven (7) days of receipt of a Request for Child/Adolescent Services application, DMH will contact the applicant or guardian by telephone. The purpose of the phone contact will be to:
Request for Child/Adolescent Services Application Forms