How to use this worksheet
Review the checklist before you start a request for MVBH care or speak with the MVBH admissions team about the process. Mark each question that matters to you, then add short notes during the conversation. You do not need to answer every question yourself. The worksheet is a preparation tool, not an application or clinical assessment.
Begin with the issues that could affect whether you pursue care. These may include program format, location, Massachusetts presence requirements for virtual sessions, schedule, clinical fit, and benefits verification.
- Choose the questions that apply to your situation.
- Put urgent logistical questions first.
- Leave space beside each item for an answer and follow-up question.
- Record who provided the answer and when.
- Confirm which issues still require a clinical, admissions, or benefits conversation.
Use general forms only to request contact or provide basic contact information. Do not enter a diagnosis, medication list, member ID, trauma history, substance-use history, or other sensitive health details. Share necessary information through the process MVBH identifies for that purpose.