If you are a clinical professional seeking to refer a patient to HRI Hospital for mental health treatment, please complete the appropriate forms below. We provide inpatient treatment, partial hospitalization programs and outpatient services to adults suffering from a psychiatric disorder or dual diagnosis.

If you are seeking treatment for yourself, please schedule an appointment.

Partial Hospitalization (PHP) Form Download

Release of Information Form

Completed forms should be faxed to 617-232-4914.

Call HRI Hospital at 833-378-7377 to schedule an appointment or 833-468-2531 to make a referral. We are available 24/7 to discuss treatment and insurance options.