Request Services

Transitions Counseling Services offers individual, couples and family therapy services both in person and virtual based on availability. Additional services such as group therapy and workshops are also offered!  

Complete the form below and our client care coordinator team will get back to you as soon as possible within 24 business hours with more information via email and/or phone. 

PLEASE NOTE: Your appointment is not scheduled UNTIL we connect directly with you about your personal requests and our availability.

Please be advised the Transitions Counseling Client Care Team is currently out of office beginning Thursday 7/3 at 3pm until Monday 7/7 in observance of the holiday. Your inquiry is important to us and we look forward to connecting with you as soon as possible.

We look forward to the opportunity to work with you. Thank you! 

Transitions Team

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Client Name (First and Last) *
Name of contact person completing this form if different from client
Contact relationship to client
Phone Number (xxx-xxx-xxxx) *
Email *
Client Insurance 

*Please note Transitions is considered OUT of network for MASSHEALTH, Beacon, Fallon, Tufts Direct, Tufts Health Together, Mass General Brigham ACO, and other PUBLIC plans* *
Preference for telehealth/virtual or in person

(*PLEASE NOTE: due to licensing restrictions, sessions must be conducted in person or with you physically located in Massachusetts during the telehealth session)
 *
Preferred Scheduling Days/Times
Primary Service Request *
Secondary Service Request
Preferred Clinician
Group of Interest 
How did you hear about us? *
Have you or any immediate family been seen in our practice before?
Briefly describe your goals in therapy and reason for seeking treatment. *
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