Care. Reimagined. Thank you for reaching out. Your feedback is important to us. Please complete this confidential form and a TaraVista staff member will be in touch shortly. Please note, we can only respond back to adult patients and parents and guardians of children and adolescents. If you are friend or family member, we would still like to receive your feedback but we cannot respond back without a release from the patient. Your Name(Required) Last Name Contact Phone Number(Required)Email What is the best way to contact you? Cell phone number Email Are you reaching out today: About treatment you received As a parent or guardian of child/adolescent About someone important to you Which program were you or your family member treated in? Inpatient Adult Care Inpatient Adolescent Care Inpatient Child Care Please provide a brief summary of what you would like us to know. A TaraVista staff member will review this and be in touch shortly. Thank you! TaraVista Behavioral Health Center 85 Patton Road Devens, MA 01434 www.taravista.care