This form is intended to express interest in Mental Health Support Services with Southborough Youth and Family Services. If you are experiencing a psychiatric emergency, call 911. For routine matters, please answer the questions to the best of your ability. Once you submit this form, a member of our clinical team will be in touch with you within 24-48 business hours. You may also call our office to inquire about our services during our office hours which can be found on our website: https://www.southboroughtown.com/youth-and-family-services.

We are required to collect your contact information and we also collect de-identified demographic information for reporting purposes. Please note, we cannot guarantee confidentiality through this method of communication.