Make a Referral

We are pleased to announce that due to additional funding, our team at the  Boston Center for Refugee Health and Human Rights is  now able to see a broader range of clients beyond our previous restriction to only survivors of torture.  Due to the increasing demand for our services, we are re-evaluating our immigration-related activities.  Full psychological evaluations remain available for defensive cases for clients who are in care with our Center.  We are unable to accept referrals which are only for psychological evaluation without treatment. This policy will remain in effect until further notice. As always, psychological affidavits and treatment letters will be provided at the discretion of the clinician. Being seen for an intake does not guarantee that a treatment letter or affidavit will be provided. 


When referring clients to our program, please use the referral form below. Often times, clients are instructed to come to our program in person rather than a referral being sent. Use of this form allows our team to focus on providing ongoing care rather than providing assessment of client needs as walk ins.  It also saves the client from the often difficult experience of explaining their history to a stranger in brief encounter. 


We look forward to our expanded mission and to working together with our legal and community partners as we manage this transition. 


  • Print a map  of BMC  to assist your client in navigating our large campus.

  • Keep in mind that it often takes several weeks to book an appointment for new patients.

  • Non-torture survivors may be referred to other providers within Boston Medical Center.



  • Make the appropriate referrals at least 3 months prior to when the affidavit is needed.

  • Specify type of affidavits needed (psychological, medical, and gynecological) based on your interactions with the client.



  • Print a release form,  fill out completely, and fax to Dana Rous:  617.414.4796.


General Referral Guidelines:

If you are requesting medical and/or psychological evaluation for affidavits:

If you need a release of protected health information form:

Download campus map

Download referral form

Download BMC Medical Release Form


Dowling Building at Boston Medical Center

850 Harrison Ave, 7th Floor

Boston, MA 02118

(617) 414-4794

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© 2014 by the Boston Center for Refugee Health and Human Rights.

Last updated 4/7/19