Behavioral Health Children & Families Addiction & Recovery Dracut House About Contact

Request care

About 5 minutes. We reply within one business day. Shared only with your care team.

Emergency? Call 911, or call or text 988.

Patient Details

Who is this form for?*

Reason for Visit*Reasons for Visit may change based on the provider selected.

Addiction & Substance UseDrug & Alcohol EducationSupport & Stabilization Services (S&S)In Home Therapy (IHT)Structured Outpatient Addiction Program (SOAP)Medication Management

Medication-Assisted Treatment (MAT)Outpatient ServiceMental or Substance Eval (MSE)Therapeutic Mentor (TM)Residential Recovery Home

WHO WE'RE SEEING

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HOW WE REACH YOU

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PROVIDERS & COVERAGE

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ANYTHING ELSE

How did you hear about us?Additional Details About Reason for Visit

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Fields marked * are required. Submitting does not create a treatment relationship until we confirm your appointment.

RATHER NOT TYPE

(978) 455-0756Intake will take your details by phone.

Walk in instead

100 Merrimack Street, Suite 205
33 East Merrimack Street
Lowell, MA 01852

In crisis now

Call or text 988, or 911 for emergencies. Our Mobile Crisis Intervention team is available.

100 Merrimack Street, Suite 201
Lowell, MA 01852

CONTACT INFO

Phone: 978-455-0756
Fax: 978-455-0770
Web: www.tri-cares.com

STAFF

Staff Login
Training Login

SERVICE AREA

Middlesex county: Chelmsford, Ayer, Burlington, Newton, Framingham, Natick, Reading, Waltham, Wilmington, Lincoln, Salisbury, Lexington, Dunstable, Tyngsborough, Westford, Billerica, Dracut, Tewksbury, Lowell, Acton, Bedford, Concord, plus Boston, Lynn and Central Mass.