Thank you for your interest in attending DMH's listening session for people receiving, or having received, PACT services. Your feedback is extremely important!

Individual feedback provided during the session will be anonymous and kept confidential by DMH. Your individual feedback will not be shared with your PACT provider.

A registration link will be forwarded following your registration.

For additional questions, please contact: Michael.Stepansky@mass.gov.

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1. Please enter your full name. (Required.)

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3. I am receiving PACT Services now.

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4. About how many years have you received PACT services?

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5. Please indicate if you require an accommodation or translation service. (Required.)

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6. Please acknowledge the following:

I understand that by participating in this Listening Session, I am potentially disclosing personal health information, including DMH-affiliation, to other members of the listening group. By checking the "Yes" box, I acknowledge that I understand this and agree to keep personal information to the minimum necessary and keep confidential any information related to specific individuals outside of the listening session. (Required.)

Thank you! A registration link will be shared with you shortly.

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