Faculty & Staff Assistance Office

  Please use this form
to contact us confidentially or call us at 617/353-5381.

If you are requesting that we contact you, please make sure we have the correct E-mail address and/or phone number. If you are requesting that we send you information, please provide your complete mailing address. Required fields appear in red.

First Name :

Last Name :

My affiliation is:

BU Faculty
BU Staff
Family member or partner of BU employee
Other


I would like to schedule an appointment at the Charles River Campus / Medical Campus.

Please contact me by E-mail at: or

Please call me at: --


Please send me a brochure at the address below:

Address 1 :
Address 2 :
City :
State :
Zip Code:


Comments:



 		 

270 Bay State Road
Room B-30
Boston, MA 02215
617/353-5381

Last Updated June 5, 2007
 
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