Make an appointment

Thank you for your interest in making an appointment at the Boston Area Rape Crisis Center.

If you have been assaulted within the last 5 days, we recommend that you call our Hotline, 1.800.841.8371, instead of completing this form in order to protect your legal rights.

Protecting your privacy can feel especially important after a sexual assault. If you are concerned about your privacy rights, your safety, or that somebody else might find out that you are contacting us, please call our Hotline , 1.800.841.8371, or our office during business hours, 617.492.8306, instead of completing this form.

First Name:

Telephone:

What are the best times to reach you by phone? We can usually return calls from 9:00am to 7:30pm on weekdays. If these times don't work for you please let us know.

We want to make sure that we protect your confidentiality:

The BARCC phone number is blocked, this means it will not appear on your caller ID. If your phone does not accept blocked phone numbers, can we unblock our phone number (this means that "Boston Area Rape Crisis Center" will appear on your caller ID)?
Yes No My phone accepts blocked calls
Can we leave a message saying "BARCC" if we get voicemail?
Yes No I Don't have voicemail
Can we leave a message with someone else if they answer the phone?
Yes No No one else will answer my phone.

What services are you interested in?

Individual, couple or family counseling
Group counseling
Legal advocacy services
Case management services
I am not sure which service is right for me. Please call me.

Are you interested in services for?

Yourself
a Friend or Family Member
A Client

A trained Rape Crisis Counselor will respond to your request within 2 business days. If you want to talk to someone before that please call the Hotline.

If you have problems with this form, please e-mail .(JavaScript must be enabled to view this email address).