Referral for Care

If you're a provider referring a patient for perinatal mental health care, please use the secure form below. Our team will follow up promptly to ensure timely support and communication.

Referring Clinician*

Email*

Phone Number

Patient Full Name & DOB*

Gestational Age or Postpartum weeks/months

Are there any relevant medical conditions we should be aware of?

Is patient currently followed by a psychiatrist?

Insurance Provider*

Member ID*

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Root and Rise Perinatal Health, Rockland MA

1001 Hingham Street, Rockland, MA, USA

Kate@rootandrisepostpartum.com 781-202-6402 - Outpatient Services 781-789-8795 - Day Treatment Options & Services

Hours

Mon	09:00 am – 05:00 pm
Tue	09:00 am – 05:00 pm
Wed	09:00 am – 05:00 pm
Thu	09:00 am – 05:00 pm
Fri	09:00 am – 05:00 pm
Sat	Closed
Sun	Closed

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Root + Rise Perinatal Health | Rockland, MA

1001 Hingham Street, Rockland MA.

781-789-8795

Perinatal Mental Health Support in the Greater Boston Area and across the South Shore.

Serving Boston, Braintree, Weymouth, Quincy, Hingham, Norwell, Scituate, Cohasset, Marshfield, Rockland, Plymouth, and beyond.

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