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Thank you for your interest in Verge Therapy! If you are interested in becoming a client at our practice, please respond to the questions below. As an opening becomes available you will receive an email from a member of our team. Please feel free to reach out with any questions to

Book a Session Request Form

Please fill out the information below.

Client Information:
Insurance Information:
Client Insurance

Please note that we are not in network with any public plans, MassHealth, and/or Medicare/Medicaid plans.

If you do not see your insurance listed, would you like to private pay?
Appointment Information:
Type of Services Requested

Please understand that we do our best to assign you to your preferred clinician. There are times when clinicians are no longer accepting new clients or do not match your availability. We will actively review your information to find the next best-fit clinician.

If checked, we can connect you to a therapist within 5 business days of submission.

Location Preferences:

Please note that we can accommodate telehealth appointments more quickly than in-person appointments.

If there's no availability at this location, do you have interest in another location?
If there are no in-person openings are you open to telehealth?
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