Need to book an appointment? If you need to request a referral or require assistance in securing one, let us help. Select the appropriate form below, download and submit to us.
Download, complete and submit your referral form to us.
Behavioral Health Referral
Project Aspiration Lighthouse
Submit a Referral by Email:
Download the Word Document or Print the PDF, fill out and scan or email back to : Referrals@lbhwc.com
Submit a Referral by Fax:
Download the Word Document or Print the PDF, fill out and Fax to: 617-910-9784
To Request a Referral by Phone: 617-910-9605