ASAP Intake Form

Thank you for your interest in the Adolescent Substance Use and Addiction Program. Please be aware, we do have a waitlist for services at this time.


A team member will be in touch in 2-3 business days.

 
 
 
 

All patients under the age of 18 that treat at Boston Children's Hospital need to have a medical proxy who is linked to the patient. We need this information for all patients under 18.