Developmental Medicine Center

Requesting a visit

To request an evaluation, please visit the request an appointment page or call us at 617-355-7025.

Patient intake forms available online

We require all new families to fill out Patient Intake Forms in order to be added on to our waiting list. We have now made this process a little bit easier by allowing you to print out the form below or complete the form electronically. Please return completed paperwork via mail, email, or fax to:

Mail:
The Division of Developmental Medicine
300 Longwood Avenue
Mailstop 3217
Boston, MA 02115
Attn: Intake Coordinators

Email:
dmcintake@childrens.harvard.edu

Fax:
617-730-0252 Attn: Intake Coordinators

Below you will find intake packages specialized by age. Please click on the correct form for your child:

Infants: age 27 months or younger
Toddler/preschool: age 28 months to 5 years
School/young adult: ages 5 to 16 years

Please note

If it has been longer than two weeks since you submitted your intake forms/questionnaires and you have not received notification that we have received them, please call 617-355-7025 and let us know.

For directions and additional information about our satellite locations, please visit the contact us page.

Learn about our research

Top researchers are investigating many important questions related to brain and behavior development in infants, children, and adolescents.

Learn more

Developmental medicine resources

You can find information and resources on what to do while you are waiting to be seen in the Developmental Medicine Center on this family eduction sheet.

The following listings are relevant resources located throughout Massachusetts and the region:

Massachusetts Behavioral Health Partnership

Phone: 800-495-0086, 617-790-4000
Website: www.mabhaccess.com

Massachusetts Behavioral Health Partnership — Emergency Services Programs

Phone: 877-382-1609
Website: https://www.masspartnership.com/member/ESP.aspx

The Federation for Children with Special Needs (FCSN)

Phone: 617-236-7210, 800-331-0688
Website: www.fcsn.org
For summer camp information: www.fcsn.org/camps

The Massachusetts Association of Special Education Parent Advisory Councils

Phone: 617-399-8307
Website: www.fcsn.org/masspac

Family Ties of Massachusetts

Phone: 800-905-8437
Website: www.massfamilyties.org

New Hampshire Family Voices