Accepting New Patients • Duxbury • Boston Back Bay • Telehealth

Get Started with Modern Mentality

Complete the intake request below and our team will be in touch within two business days to coordinate your initial appointment.

Call Us (781) 803-7757

Email intakes@modern-mentality.com

Duxbury 95 Tremont St, Suite 2

Boston Back Bay 264 Beacon Street, Unit 3R

How Would You Like to Get Started?

Choose the path that works best for you.

Instant Self-Schedule Directly Pick a provider, date, and time. No login required. Your request goes straight into our scheduling system.

Full Intake Request Provide clinical and insurance details upfront. Best for complex cases or if you're unsure which provider is right for you.

Intake Request

The first step to becoming a patient at Modern Mentality. All information is kept confidential and is used solely to coordinate your initial appointment.

1 What brings you in?

Personalized Psychiatric Care Personalized treatment from experienced psychiatric providers Insurance Accepted

ADHD Testing Package Intake, testing, and a 30-minute results debrief $649 Self-Pay

Individual Therapy Evidence-based psychotherapy for adults Insurance Accepted

NeuroStar TMS Therapy FDA-cleared treatment for depression, anxiety, and OCD FDA-Cleared

Other / Not Sure We'll help figure out the best fit for you Let's Talk

Clinician Referral For providers or staff referring a patient to our practice Provider Use

ADHD Testing Package

The package includes your intake, the testing itself (FDA-cleared TOVA attention test, Creyos neurocognitive assessment, validated rating scales and a structured clinical interview), and a 30-minute debrief session to walk through the results.

Out of pocket; HSA/FSA accepted.

$649 Package

About NeuroStar TMS Therapy

FDA-cleared, non-invasive treatment for depression, anxiety, and OCD. Most insurance plans cover TMS after prior medication trials. Treatment involves daily sessions over 6-9 weeks.

Learn more about TMS

Clinician Referral

Use this form to refer a patient to Modern Mentality. You can also have your admin team submit on your behalf. We will reach out to the patient directly and keep you informed.

Referring Provider Name *

Practice / Organization

Provider Phone *

Provider Email

Reason for Referral *

Referral Urgency

Services Requested

Please still fill out the patient's contact information in Sections 2-4 below so we can reach them directly.

Quick TMS Candidacy Screening

Optional: Answer a few questions to help us assess your candidacy before your consultation.

How many antidepressant medications have you tried that did not adequately improve your symptoms?

List any medications you've tried, if you remember them:

Do any of the following apply to you? (Check all that apply) Metal implants in or near my head (plates, screws, clips, cochlear implants) Cardiac pacemaker or defibrillator Deep brain stimulator or vagus nerve stimulator Implanted medication pump

Do any of these apply? History of seizures or epilepsy I am currently pregnant

None of the above apply to me

2 About You

I am *

First Name *

Last Name *

Sex and Gender *

Date of Birth *

Phone *

Email *

Street Address *

City *

State *

Zip Code *

3 Payment Method

Insurance

Self-Pay

Insurance Carrier *

Member / Group ID *

Self-pay rates vary by service. The ADHD Testing Package is $649 out of pocket and includes intake, testing and a 30-minute results debrief. HSA/FSA accepted for all services.

4 Clinical Information

Why are you seeking care? *

Are you having thoughts of hurting yourself? *

Have you ever been hospitalized for psychiatric reasons? *

Current medications and medical concerns *

Current or past psychiatric diagnoses *

Preferred Location *

Availability *

Anything else you'd like us to know?

5 How Did You Find Us?

Referral Source *

2 Patient Contact Information

Provide basic patient info so we can reach out to them directly.

Patient First Name *

Patient Last Name *

Patient Phone *

Patient Email

Patient Insurance (if known)

Preferred Location

Additional Notes

If you are in immediate danger or experiencing a mental health emergency, please call 911 or go to your nearest emergency room. You can also contact the 988 Suicide & Crisis Lifeline by calling or texting 988. You can also contact the Massachusetts Behavioral Health Helpline at 833-773-2445 or the New Hampshire Rapid Response Access Point at 833-710-6477, depending on the state you are in. Please note that this form is not monitored in real-time.

Get Started with Modern Mentality

How Would You Like to Get Started?

Intake Request

ADHD Testing Package

About NeuroStar TMS Therapy

Clinician Referral

Quick TMS Candidacy Screening

Our Locations

Duxbury, MA

Boston Back Bay

Our Services

Insurance Accepted

What Happens Next?