77 Elm St, Amesbury, MA 01913 978-233-9597
Verify Insurance Admissions Mon–Fri · 9AM–6PM

What Not to Submit Online

Use the right channel for admissions, benefits, and professional referrals.

MVBH public website forms are for limited callback, benefits-request, and provider business-contact details. Do not submit diagnosis, symptoms, medication lists, trauma history, substance-use history, patient names, dates of birth, insurance member IDs, or other sensitive health information through a general website form. Use a phone conversation for clinical or referral discussion.

Why the website asks for limited information

The public site is designed to support a first call or benefits callback, not to replace a clinical record or secure referral system. Limiting general forms reduces the chance that sensitive information is entered into a channel not intended for detailed health information.

A person can share basic callback details, then discuss clinical questions with the appropriate team by phone. A provider referral form is limited to the referring professional’s business contact details and includes a confirmation that no patient information was entered online.

Examples of information to keep out of public forms

Do not enter a diagnosis, symptoms, medication, trauma history, substance-use history, a patient or client name, date of birth, insurance member ID, medical documents, or a detailed clinical narrative. This guidance applies even when someone is trying to be helpful or explain urgency.

If someone is in immediate danger, call 911. If someone is in emotional distress or having thoughts of suicide, call or text 988. A general website form is not a crisis channel.

Your path to personalized mental wellness starts here.

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Treatment terminology notice: At Merrimack Valley Behavioral Health, our day-based programs are referred to as Full Day Treatment and Half Day Treatment. In Massachusetts, insurance providers commonly refer to these levels of care as PHP (Partial Hospitalization Program) and IOP (Intensive Outpatient Program). Any reference to PHP or IOP on this site refers to our Full Day Treatment or Half Day Treatment programs.
Detox scope: MVBH does not provide detox onsite. If detox may be needed before outpatient treatment, call our team. We can help identify an appropriate outside detox provider, but cannot guarantee placement, acceptance, transportation, medical clearance, or suitability.
If you are in crisis or having thoughts of suicide: call or text 988 (Suicide & Crisis Lifeline) or 911. MVBH is not an emergency service.