Welcome to Three Rivers Mental Health
Your Guide to Getting Started
We’re so glad you’ve chosen to begin your care with Three Rivers Mental Health. Starting mental health treatment can feel overwhelming at times — our goal is to make the process clear, supportive, and collaborative from the very beginning.
This guide walks you through what to expect, how we communicate, and how to get the most out of your care.
Our Philosophy
Our approach emphasizes empowerment and collaboration. We believe you are the expert on your own life, and our role is to support you with evidence-based care that honors the connection between mental, emotional, and physical well-being.
Care at Three Rivers is a partnership — thoughtful, individualized, and grounded in respect.
Your First Appointment
Paperwork & the Healthie Portal
We use Healthie, our secure, HIPAA-compliant patient portal, for:
- Intake forms and consents
- Insurance and payment information
- Appointment reminders
- Telehealth visits
Please complete all assigned forms in Healthie before your first appointment.
Your First Visit
- Initial medication evaluations: approximately 60 minutes
- Initial therapy sessions: approximately 53–60 minutes
- Medication follow-ups: approximately 10–30 minutes
Please ensure you are in a quiet, private space for your visit. For safety and legal reasons, providers cannot meet with patients while driving and may be asked to pull over or reschedule if driving during a telehealth visit.
After your visit, you and your provider will collaborate on next steps tailored to your goals and needs.
In-Person Visits
All in-person visits occur at our Acton location:
Acton, MA 01720
Communication & Support
Spruce (Primary Communication Tool)
We use Spruce, a HIPAA-secure texting and messaging platform, for:
- Scheduling and rescheduling
- Non-urgent questions
- Medication refill requests
- General office communication
Messages sent through Spruce are triaged by our front desk team first, then routed to your provider when appropriate.
Office number (text preferred): 857-229-2852
If we don’t answer, please leave a voicemail and we’ll get back to you within 24–48 business hours.
Healthie Portal Messaging
Healthie is used for forms, telehealth, and documentation. For day-to-day communication, please use Spruce rather than Healthie messages.
Urgent & Emergency Needs
We do not have on-call clinicians after hours or on weekends.
If you are in crisis:
- Call or text 988
- Dial 911
- Go to your nearest emergency room
Your safety always comes first.
Medication Management
If medication is part of your treatment, your provider will review options with you collaboratively and answer questions during your visits. Prescriptions are sent electronically to your pharmacy.
Medication Refills
To request a medication refill, please use one of the following:
- Submit a Medication Refill Request Form through your patient portal
- Message our office through Spruce with the refill request
- Go to our website and use the refill request link
When submitting a refill request, please include:
- The name of the medication
- Your pharmacy name and location
- We do not respond to automated pharmacy refill requests
- Some refill requests may require a follow-up visit before approval
- Controlled substances require more frequent visits and closer monitoring; your provider will review expectations with you directly
Appointments & Policies
Scheduling
- Appointments are confirmed via Healthie calendar invites and text messages
- Calendar invites are sent once visits are confirmed
Cancellations
- Please provide at least 48 hours’ notice
- Late cancellations (less than 48 business hours) and no-shows may result in a fee
- Arriving more than 10 minutes late is considered a no-show
If you’re running late, please text us at 857-229-2852.
Therapy at Three Rivers
Therapy is your space. Some sessions may feel heavy, others quieter — all are meaningful.
Together, we will:
- Set goals that matter to you
- Explore challenges with curiosity and compassion
- Recognize progress, even when it’s subtle
Telehealth & Technology
- Telehealth sessions are conducted securely through Healthie and via Zoom
- Visit links are sent via email and text before your appointment
- Healthie can also be used to upload documents and update information
Your Role in Care
Your engagement matters. We invite you to:
- Share openly with your provider
- Communicate what’s working — and what isn’t
- Show up as you are; you belong here