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Request Services

Thank you for your interest in services at the Boston Area Rape Crisis Center.

Please submit a request online below or by phone at 617-492-8306, and our service access team will explore your individual needs with you. If you are interested in time-sensitive medical care and evidence collection options, we recommend that you call the hotline 24-7 at 800-841-8371 or chat online 9:00 a.m.–11:00 p.m., instead of completing this form.

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 at 800-841-8371 or our office during business hours at 617-492-8306, instead of completing this form.

Please note that a trained rape crisis counselor will respond to your request within three business days. If you want to talk to someone before that, please call the hotline 24-7 at 800-841-8371 or chat online 9:00 a.m.–11:00 p.m. Or if you have not heard from someone after several days, please call our office at 617-492-8306 to request services. If you have problems with this form, please call 617-492-8306.

Questions marked with a star are required.

Providers: if you would like to refer a client to our services, please call 617-492-8306; do not use this form for referrals.

Our mission is to end sexual violence. We empower survivors of sexual violence to heal and provide education and advocacy for social change to prevent sexual violence.