Information submitted is entirely confidential. Only fields marked with an asterisk(*) are required. If you are already an LCL client, please complete this form to update your information or if you wish to speak with someone new. To schedule anonymously, please call (617) 482-9600. Please note if you are anonymous, we will not be able to produce records for you.
This is not an emergency service. If you are feeling suicidal, call or text 988 or seek emergency services at a hospital.