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1</head><body class="flex flex-col min-h-screen"><nav class="sticky top-0 z-50 transition-all duration-300 bg-white"><div class="max-w-7xl mx-auto px-3 sm:px-4 md:pl-6 md:pr-8 flex items-center justify-between py-2 md:py-3"><a class="flex items-center gap-3" href="/"><img src="/logo.png" alt="Heritage Health System" class="h-14 sm:h-20 md:h-24 w-auto object-contain"/></a><div class="hidden lg:flex items-center gap-5"><a class="text-sm text-gray-600 hover:text-teal transition" href="/">Home</a><a class="text-sm text-gray-600 hover:text-teal transition" href="/about">About</a><div class="relative"><button class="text-sm text-teal font-medium hover:text-teal transition flex items-center gap-1 cursor-pointer">Services<svg class="w-4 h-4 transition " fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="1.5" d="M19 9l-7 7-7-7"></path></svg></button><div class="absolute top-full left-0 h-4 w-full"></div></div><a class="text-sm text-gray-600 hover:text-teal transition" href="/blog">Blog</a><a class="text-sm text-gray-600 hover:text-teal transition" href="/contact">Contact</a></div><div class="flex items-center gap-3"><a class="hidden lg:inline-flex items-center gap-1.5 bg-dark text-white text-sm px-4 py-2 rounded-button font-semibold hover:bg-dark-mid transition-transform hover:scale-105 active:scale-95" href="/spravato"><svg class="w-4 h-4" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M12 6.253v13m0-13C10.832 5.477 9.246 5 7.5 5S4.168 5.477 3 6.253v13C4.168 18.477 5.754 18 7.5 18s3.332.477 4.5 1.253m0-13C13.168 5.477 14.754 5 16.5 5c1.747 0 3.332.477 4.5 1.253v13C19.832 18.477 18.247 18 16.5 18c-1.746 0-3.332.477-4.5 1.253"></path></svg>Spravato Treatment</a><a class="hidden lg:inline-block bg-teal text-white text-sm px-5 py-2 rounded-button font-semibold hover:bg-teal-dark transition-transform hover:scale-105 active:scale-95" href="/contact">Book Appointment â</a><a class="hidden lg:inline-flex items-center gap-1.5 border-2 border-green text-green text-sm px-4 py-2 rounded-button font-semibold hover:bg-green/5 transition-transform hover:scale-105 active:scale-95" href="/preceptorship">Preceptorship<svg class="w-4 h-4" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M9 5l7 7-7 7"></path></svg></a><button class="lg:hidden p-2 text-gray-400 hover:text-teal transition"><svg class="w-7 h-7" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M4 6h16M4 12h16M4 18h16"></path></svg></button></div></div></nav><div class="bg-red-600 text-white text-center px-4 py-3 text-sm sm:text-base font-medium leading-relaxed">We do not provide emergency services. If you are in crisis or feeling suicidal, please call<!-- --> <strong>911</strong> or the Crisis Hotline at <strong>988</strong> or visit your nearest emergency room.</div><main class="flex-1"><div class="bg-dark px-4 sm:px-6 md:px-12 py-16 sm:py-20 md:py-28 text-center relative overflow-hidden"><div class="absolute inset-0 opacity-10" style="background-image:url(https://images.unsplash.com/photo-1559839734-2b71ea197ec2?w=1200&q=80);background-size:cover;background-position:center"></div><div class="relative z-10"><h1 class="font-serif text-4xl md:text-5xl lg:text-7xl text-white mb-4">SPRAVATO® Treatment</h1><p class="text-lg md:text-xl lg:text-2xl text-teal-light max-w-3xl mx-auto">Innovative Therapy for Treatment-Resistant Depression</p></div></div><div class="bg-white/50 hhs-section border-b border-border/50"><div class="max-w-4xl mx-auto text-center"><div class="hhs-tag">Insurance Accepted</div><h2 class="hhs-h2 mb-2">SPRAVATO® Coverage Available</h2><p class="text-sm text-muted max-w-xl mx-auto mb-2">We accept a wide range of insurance plans for SPRAVATO® treatment. Contact us to verify your coverage.</p><div class="w-full overflow-hidden py-4 sm:py-8"><div class="flex gap-10 sm:gap-16 items-center animate-scroll" style="width:max-content"><div class="flex-shrink-0 flex items-center justify-center"><img src="/insurance/medicare.png" alt="Medicare" class="h-8 sm:h-10 md:h-12 w-auto max-w-[120px] sm:max-w-[160px] md:max-w-[200px] object-contain"/></div><div class="flex-shrink-0 flex items-center justify-center"><img src="/insurance/uhc.png" alt="UnitedHealthcare" class="h-8 sm:h-10 md:h-12 w-auto max-w-[120px] sm:max-w-[160px] md:max-w-[200px] object-contain"/></div><div class="flex-shrink-0 flex items-center justify-center"><img src="/insurance/optum.png" alt="Optum" class="h-8 sm:h-10 md:h-12 w-auto max-w-[120px] sm:max-w-[160px] md:max-w-[200px] object-contain"/></div><div class="flex-shrink-0 flex items-center justify-center"><img src="/insurance/aetna.png" alt="Aetna" class="h-8 sm:h-10 md:h-12 w-auto max-w-[120px] sm:max-w-[160px] md:max-w-[200px] object-contain"/></div><div class="flex-shrink-0 flex items-center justify-center"><img src="/insurance/bluecross.png" alt="Blue Cross Blue Shield" class="h-8 sm:h-10 md:h-12 w-auto max-w-[120px] sm:max-w-[160px] md:max-w-[200px] object-contain"/></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/cigna.png" alt="CIGNA" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">
1CIGNA</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/oscar.png" alt="Oscar" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Oscar</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/harvard-pilgrim.png" alt="Harvard Pilgrim" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Harvard Pilgrim</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/mgb.png" alt="Mass General Brigham" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Mass General Brigham</span></div></div><div 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w-auto max-w-[120px] sm:max-w-[160px] md:max-w-[200px] object-contain"/></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/cigna.png" alt="CIGNA" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">CIGNA</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/oscar.png" alt="Oscar" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Oscar</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/harvard-pilgrim.png" alt="Harvard Pilgrim" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Harvard Pilgrim</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/mgb.png" alt="Mass General Brigham" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Mass General Brigham</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/carelon.png" alt="Carelon" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Carelon</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/commonwealth-care.png" alt="Commonwealth Care Alliance" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Commonwealth Care Alliance</span></div></div><div class="flex-shrink-0 flex items-center justify-center"><div class="flex flex-col items-center gap-1"><img src="/insurance/network-health.png" alt="Network Health" class="h-8 sm:h-10 w-auto object-contain"/><span class="text-[10px] sm:text-xs font-semibold text-gray-500 whitespace-nowrap">Network Health</span></div></div></div></div></div></div><div class="hhs-section"><div class="max-w-6xl mx-auto"><div class="grid lg:grid-cols-2 gap-16 items-center mb-20"><div><div class="hhs-tag">Advanced Treatment</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-6">Hope is Here</h2><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-6">At Heritage Health System, we are committed to providing advanced treatment options for individuals struggling with severe depression. One of the innovative therapies we offer is <strong>SPRAVATO® (esketamine) nasal spray</strong>, an FDA-approved medication designed to help patients who have not responded adequately to traditional antidepressant medications.</p><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-8">SPRAVATO® is unique because it is believed to work differently than traditional antidepressants by targeting glutamate, the most abundant excitatory neurotransmitter in the brain, rather than serotonin or norepinephrine.</p><a class="bg-teal text-white text-base font-semibold px-10 py-4 rounded-button inline-block text-center w-full sm:w-auto hover:bg-teal-dark transition-colors" href="/contact">Contact Us to Learn More</a></div><div class="bg-gradient-to-br from-teal/10 to-teal/5 rounded-3xl p-6 sm:p-8 md:p-12 text-center flex flex-col items-center justify-center"><img src="/spravato-device.jpg" alt="SPRAVATO nasal spray device" class="w-64 md:w-80 h-auto mb-8" loading="lazy"/><p class="text-sm text-gray-500 mb-6 max-w-xs">SPRAVATO® (esketamine) CIII nasal spray device</p><a href="https://www.spravato.com" target="_blank" rel="noopener noreferrer" class="inline-flex items-center gap-2 border-2 border-teal text-teal text-base font-semibold px-8 py-3.5 rounded-button hover:bg-teal/5 transition-colors">Visit Official Website<svg class="w-4 h-4" fill="none" stroke="currentColor" viewBox="0 0 24 24">
1<path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M10 6H6a2 2 0 00-2 2v10a2 2 0 002 2h10a2 2 0 002-2v-4M14 4h6m0 0v6m0-6L10 14"></path></svg></a></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">What is SPRAVATO®?</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">FDA-Approved Innovation</h2></div><div class="bg-cream rounded-3xl p-4 sm:p-6 md:p-12"><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-8"><strong>SPRAVATO® (esketamine) CIII nasal spray</strong> is a prescription medicine approved by the <strong>U.S. Food and Drug Administration (FDA)</strong> for adults with:</p><div class="grid md:grid-cols-2 gap-6 mb-8"><div class="bg-white rounded-2xl p-6 shadow-md border border-border"><div class="text-teal mb-4"><svg class="w-8 h-8" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M9 12l2 2 4-4m6 2a9 9 0 11-18 0 9 9 0 0118 0z"></path></svg></div><h3 class="font-serif text-xl font-bold text-dark mb-3">Treatment-Resistant Depression (TRD)</h3><p class="text-base text-gray-600">As monotherapy or in conjunction with an oral antidepressant for adults who have not responded to at least two prior antidepressant treatments</p></div><div class="bg-white rounded-2xl p-6 shadow-md border border-border"><div class="text-teal mb-4"><svg class="w-8 h-8" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M4.318 6.318a4.5 4.5 0 000 6.364L12 20.364l7.682-7.682a4.5 4.5 0 00-6.364-6.364L12 7.636l-1.318-1.318a4.5 4.5 0 00-6.364 0z"></path></svg></div><h3 class="font-serif text-xl font-bold text-dark mb-3">MDD with Suicidal Thoughts</h3><p class="text-base text-gray-600">Used with an antidepressant taken by mouth for depressive symptoms in adults with major depressive disorder (MDD) with acute suicidal ideation or behavior</p></div></div><p class="text-base md:text-lg text-gray-600 leading-relaxed">SPRAVATO® is administered as a nasal spray and must be given in a <strong>certified medical facility under professional supervision</strong>. It is only available through a restricted program called the <strong>SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS) Program</strong>.</p></div></div><div class="grid lg:grid-cols-2 gap-16 items-center mb-20"><div class="order-2 lg:order-1 bg-gradient-to-br from-teal/10 to-teal/5 rounded-3xl p-4 sm:p-6 md:p-12 flex items-center justify-center min-h-[300px]"><img src="https://www.spravato.com/images/logo.png" alt="SPRAVATO logo" class="w-48 md:w-64 h-auto mx-auto" loading="lazy"/></div><div class="order-1 lg:order-2"><div class="hhs-tag">How It Works</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-6">A Different Mechanism of Action</h2><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-6">SPRAVATO® contains esketamine, the S-enantiomer of ketamine. It is a <strong>non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist</strong> that acts on the glutamate system in the brain - a completely different mechanism from traditional antidepressants that target serotonin or norepinephrine.</p><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-6">While the exact mechanism is still being studied, the prevailing scientific understanding is that esketamine preferentially blocks NMDA receptors on GABAergic inhibitory interneurons. This blockade transiently enhances glutamatergic activity, leading to increased release of glutamate and stimulation of AMPA receptors.</p><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-8">This cascade activates downstream neurotrophic signaling pathways, resulting in:</p><div class="space-y-4"><div class="flex items-center gap-4 p-4 bg-white rounded-xl border border-border"><svg class="w-6 h-6 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg><span class="text-base md:text-lg text-gray-700">Increased synaptic protein synthesis and synaptogenesis</span></div><div class="flex items-center gap-4 p-4 bg-white rounded-xl border border-border"><svg class="w-6 h-6 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24">
1<path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg><span class="text-base md:text-lg text-gray-700">Improved synaptic connectivity in the prefrontal cortex</span></div><div class="flex items-center gap-4 p-4 bg-white rounded-xl border border-border"><svg class="w-6 h-6 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg><span class="text-base md:text-lg text-gray-700">Enhanced connectivity in limbic regions (amygdala and hippocampus)</span></div><div class="flex items-center gap-4 p-4 bg-white rounded-xl border border-border"><svg class="w-6 h-6 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg><span class="text-base md:text-lg text-gray-700">Rapid reduction of depressive symptoms - as early as 24 hours after the first dose in clinical trials</span></div></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Clinical Evidence</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">What Clinical Trials Have Shown</h2></div><div class="grid md:grid-cols-2 gap-8"><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="text-4xl font-serif font-bold text-teal mb-4">4 Weeks</div><p class="text-base md:text-lg text-gray-600 leading-relaxed">In short-term Phase 3 clinical trials, SPRAVATO® in conjunction with an oral antidepressant showed statistically significant improvement in depressive symptoms at 4 weeks compared to placebo plus an oral antidepressant.</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="text-4xl font-serif font-bold text-teal mb-4">24 Hours</div><p class="text-base md:text-lg text-gray-600 leading-relaxed">Most of the improvement in depressive symptoms was seen as early as 24 hours after the first treatment session, with effects continuing to strengthen over the treatment period.</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="text-4xl font-serif font-bold text-teal mb-4">1709</div><p class="text-base md:text-lg text-gray-600 leading-relaxed">Patients with treatment-resistant depression were evaluated for safety across five Phase 3 studies (three short-term and two long-term studies), establishing the safety profile of SPRAVATO®.</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="text-4xl font-serif font-bold text-teal mb-4">2 Doses</div><p class="text-base md:text-lg text-gray-600 leading-relaxed">Available as 56 mg (2 nasal spray devices) or 84 mg (3 nasal spray devices), each delivering 28 mg of esketamine per device. The dose is individualized based on efficacy and tolerability.</p></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Dosing Schedule</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">Treatment Timeline</h2></div><div class="space-y-6"><div class="bg-white rounded-2xl p-8 shadow-md border border-border flex flex-col md:flex-row md:items-center gap-6"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark flex-shrink-0">1</div><div><h3 class="font-serif text-xl font-bold text-dark mb-2">Induction Phase (Weeks 1-4)</h3><p class="text-gray-600">SPRAVATO® is administered twice per week. The recommended dose is 56 mg or 84 mg, adjusted based on efficacy and tolerability. Most patients begin to see improvement during this phase.</p></div></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border flex flex-col md:flex-row md:items-center gap-6"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark flex-shrink-0">2</div><div><h3 class="font-serif text-xl font-bold text-dark mb-2">Maintenance Phase (Weeks 5-8)</h3><p class="text-gray-600">Treatment sessions are reduced to once per week at the same dose (56 mg or 84 mg). The goal is to sustain the improvements achieved during induction.</p></div></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border flex flex-col md:flex-row md:items-center gap-6"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark flex-shrink-0">3</div><div><h3 class="font-serif text-xl font-bold text-dark mb-2">Continuation Phase (Week 9+)</h3><p class="text-gray-600">Dosing frequency is individualized based on your response - either once weekly or every two weeks - to maintain remission or response at the lowest effective frequency.</p></div></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">REMS Program</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">Safety First: The SPRAVATO® REMS Program</h2></div><div class="bg-dark rounded-3xl p-6 sm:p-10 md:p-16 text-white"><p class="text-base md:text-lg text-gray-300 leading-relaxed mb-8">Because of the risks of sedation, dissociation, respiratory depression, and potential for abuse and misuse, the FDA requires that SPRAVATO® be available only through a restricted distribution program called the <strong>SPRAVATO® REMS (Risk Evaluation and Mitigation Strategy)</strong>.</p><div class="grid md:grid-cols-2 gap-6"><div class="bg-white/10 rounded-2xl p-6"><h3 class="font-serif text-lg font-bold text-white mb-2">Certified Healthcare Setting</h3><p class="text-gray-300 text-sm md:text-base">SPRAVATO® can only be administered in healthcare settings certified in the REMS program. Our clinic is fully certified.</p></div><div class="bg-white/10 rounded-2xl p-6"><h3 class="font-serif text-lg font-bold text-white mb-2">
1Direct Observation</h3><p class="text-gray-300 text-sm md:text-base">You self-administer the nasal spray under the direct observation of a healthcare provider throughout the entire session.</p></div><div class="bg-white/10 rounded-2xl p-6"><h3 class="font-serif text-lg font-bold text-white mb-2">2-Hour Monitoring</h3><p class="text-gray-300 text-sm md:text-base">After administration, you are monitored for at least 2 hours for sedation, dissociation, changes in blood pressure, and respiratory status.</p></div><div class="bg-white/10 rounded-2xl p-6"><h3 class="font-serif text-lg font-bold text-white mb-2">No Home Use</h3><p class="text-gray-300 text-sm md:text-base">SPRAVATO® must never be dispensed directly to a patient for home use. All doses are administered in-clinic.</p></div></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Blood Pressure Monitoring</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">What We Monitor During Treatment</h2></div><div class="bg-cream rounded-3xl p-4 sm:p-6 md:p-12"><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-6">SPRAVATO® can cause a temporary increase in blood pressure that typically peaks around 40 minutes after administration and lasts for about 2 hours. Our clinical protocol includes:</p><div class="grid md:grid-cols-3 gap-6"><div class="bg-white rounded-2xl p-6 shadow-md border border-border"><h3 class="font-serif text-lg font-bold text-dark mb-3">Before Dose</h3><p class="text-gray-600 text-sm md:text-base">Blood pressure is assessed before each treatment session. If significantly elevated, we evaluate the risks and benefits before proceeding.</p></div><div class="bg-white rounded-2xl p-6 shadow-md border border-border"><h3 class="font-serif text-lg font-bold text-dark mb-3">During Session</h3><p class="text-gray-600 text-sm md:text-base">Blood pressure is reassessed approximately 40 minutes after dosing (corresponding with peak plasma concentration) and as clinically needed.</p></div><div class="bg-white rounded-2xl p-6 shadow-md border border-border"><h3 class="font-serif text-lg font-bold text-dark mb-3">Before Discharge</h3><p class="text-gray-600 text-sm md:text-base">We confirm your blood pressure is stabilized and you are clinically stable before you are discharged, approximately 2 hours after dosing.</p></div></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Who Benefits?</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">Is SPRAVATO® Right for You?</h2></div><div class="grid md:grid-cols-3 gap-8"><div class="bg-white rounded-2xl p-8 shadow-md border border-border hover:shadow-xl transition-all hover:-translate-y-1"><h3 class="font-serif text-xl font-bold text-dark mb-4">Tried Multiple Antidepressants</h3><p class="text-base text-gray-600">Have not responded to two or more antidepressant medications - known as treatment-resistant depression (TRD)</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border hover:shadow-xl transition-all hover:-translate-y-1"><h3 class="font-serif text-xl font-bold text-dark mb-4">Severe or Persistent Depression</h3><p class="text-base text-gray-600">Experience depressive symptoms that significantly impact daily life, functioning, and well-being despite treatment</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border hover:shadow-xl transition-all hover:-translate-y-1"><h3 class="font-serif text-xl font-bold text-dark mb-4">Seeking New Options</h3><p class="text-base text-gray-600">Want a rapid-acting treatment approach with a different mechanism of action than traditional antidepressants</p></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Insurance Coverage</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">Coverage and Cost Information</h2></div><div class="bg-white rounded-3xl p-4 sm:p-8 md:p-12 shadow-md border border-border"><p class="text-base md:text-lg text-gray-600 leading-relaxed mb-8">SPRAVATO® is widely covered by insurance plans. According to the manufacturer,
1<strong>9 out of 10 commercially insured patients are covered</strong> for SPRAVATO® treatment. SPRAVATO® is also covered under Medicare and Medicaid.</p><div class="grid md:grid-cols-2 gap-8"><div class="bg-teal/5 rounded-2xl p-6"><h3 class="font-serif text-lg font-bold text-dark mb-3">Insurance Types Accepted</h3><ul class="space-y-3"><li class="flex items-center gap-2 text-gray-600"><svg class="w-5 h-5 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg>Commercial insurance plans</li><li class="flex items-center gap-2 text-gray-600"><svg class="w-5 h-5 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg>Medicare</li><li class="flex items-center gap-2 text-gray-600"><svg class="w-5 h-5 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg>Medicaid</li><li class="flex items-center gap-2 text-gray-600"><svg class="w-5 h-5 text-teal flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path></svg>Private insurance</li></ul></div><div class="bg-teal/5 rounded-2xl p-6"><h3 class="font-serif text-lg font-bold text-dark mb-3">Savings Program</h3><p class="text-gray-600 text-sm md:text-base mb-4">The SPRAVATO® withMe Savings Program may be available for eligible commercially insured patients to help with out-of-pocket costs. Our team will verify your insurance and discuss all available options before starting treatment.</p><p class="text-gray-500 text-sm">Our staff will work with you to obtain insurance approval before starting treatment.</p></div></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Your Journey</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">What to Expect During Treatment</h2></div><div class="grid md:grid-cols-2 lg:grid-cols-4 gap-6"><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark mb-6">01</div><h3 class="font-serif text-xl font-bold text-dark mb-3">Arrive & Check In</h3><p class="text-base text-gray-600">Patient arrives at our clinic for the scheduled treatment session. You will need to arrange transportation home.</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark mb-6">02</div><h3 class="font-serif text-xl font-bold text-dark mb-3">Administration</h3><p class="text-base text-gray-600">Under the direct supervision of a healthcare provider, you self-administer the SPRAVATO® nasal spray in our certified treatment room.</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark mb-6">03</div><h3 class="font-serif text-xl font-bold text-dark mb-3">Monitoring Period</h3><p class="text-base text-gray-600">You will rest comfortably in our clinic for approximately 2 hours while our medical team monitors your vitals and checks for side effects.</p></div><div class="bg-white rounded-2xl p-8 shadow-md border border-border"><div class="w-16 h-16 bg-teal/10 rounded-full flex items-center justify-center font-serif text-3xl font-bold text-teal-dark mb-6">04</div><h3 class="font-serif text-xl font-bold text-dark mb-3">Return Home</h3><p class="text-base text-gray-600">Once cleared by our healthcare provider, you may return home. Do not drive, operate machinery, or make important decisions until the next day after a full night's rest.</p></div></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Common Questions</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">Frequently Asked Questions</h2></div><div class="space-y-4 max-w-4xl mx-auto"><details class="bg-white rounded-xl border border-border overflow-hidden group"><summary class="p-5 md:p-6 cursor-pointer font-semibold text-dark text-base md:text-lg flex items-center justify-between list-none hover:bg-teal/5 transition-colors">How long does a treatment session take?<svg class="w-5 h-5 text-teal flex-shrink-0 ml-4 group-open:rotate-180 transition-transform" fill="none" stroke="currentColor" viewBox="0 0 24 24">
1<path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M19 9l-7 7-7-7"></path></svg></summary><div class="px-5 md:px-6 pb-5 md:pb-6 text-gray-600 text-base leading-relaxed border-t border-border pt-4">Plan for approximately 2.5 to 3 hours total. This includes check-in, preparation, self-administration of the nasal spray, and the required 2-hour post-treatment monitoring period.</div></details><details class="bg-white rounded-xl border border-border overflow-hidden group"><summary class="p-5 md:p-6 cursor-pointer font-semibold text-dark text-base md:text-lg flex items-center justify-between list-none hover:bg-teal/5 transition-colors">Will I need to stop my current antidepressant?<svg class="w-5 h-5 text-teal flex-shrink-0 ml-4 group-open:rotate-180 transition-transform" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M19 9l-7 7-7-7"></path></svg></summary><div class="px-5 md:px-6 pb-5 md:pb-6 text-gray-600 text-base leading-relaxed border-t border-border pt-4">No. SPRAVATO® is used in conjunction with your current oral antidepressant. It is not a replacement for your existing medication regimen unless your doctor specifically recommends changes.</div></details><details class="bg-white rounded-xl border border-border overflow-hidden group"><summary class="p-5 md:p-6 cursor-pointer font-semibold text-dark text-base md:text-lg flex items-center justify-between list-none hover:bg-teal/5 transition-colors">How soon will I feel better?<svg class="w-5 h-5 text-teal flex-shrink-0 ml-4 group-open:rotate-180 transition-transform" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M19 9l-7 7-7-7"></path></svg></summary><div class="px-5 md:px-6 pb-5 md:pb-6 text-gray-600 text-base leading-relaxed border-t border-border pt-4">In clinical trials, many patients experienced improvement in depressive symptoms as early as 24 hours after the first dose, with continued improvement over the 4-week induction phase.</div></details><details class="bg-white rounded-xl border border-border overflow-hidden group"><summary class="p-5 md:p-6 cursor-pointer font-semibold text-dark text-base md:text-lg flex items-center justify-between list-none hover:bg-teal/5 transition-colors">Can I drive myself home after treatment?<svg class="w-5 h-5 text-teal flex-shrink-0 ml-4 group-open:rotate-180 transition-transform" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M19 9l-7 7-7-7"></path></svg></summary><div class="px-5 md:px-6 pb-5 md:pb-6 text-gray-600 text-base leading-relaxed border-t border-border pt-4">No. You must arrange for transportation home before each session. SPRAVATO® can affect your coordination and judgment, and you should not drive or operate machinery until the next day after a restful sleep.</div></details><details class="bg-white rounded-xl border border-border overflow-hidden group"><summary class="p-5 md:p-6 cursor-pointer font-semibold text-dark text-base md:text-lg flex items-center justify-between list-none hover:bg-teal/5 transition-colors">How is SPRAVATO® different from ketamine infusion clinics?<svg class="w-5 h-5 text-teal flex-shrink-0 ml-4 group-open:rotate-180 transition-transform" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M19 9l-7 7-7-7"></path></svg></summary><div class="px-5 md:px-6 pb-5 md:pb-6 text-gray-600 text-base leading-relaxed border-t border-border pt-4">SPRAVATO® is an FDA-approved, standardized medication with a well-established safety profile, dosing protocol, and REMS program. It is self-administered as a nasal spray under supervision, rather than through IV infusion.</div></details><details class="bg-white rounded-xl border border-border overflow-hidden group"><summary class="p-5 md:p-6 cursor-pointer font-semibold text-dark text-base md:text-lg flex items-center justify-between list-none hover:bg-teal/5 transition-colors">What side effects should I expect?<svg class="w-5 h-5 text-teal flex-shrink-0 ml-4 group-open:rotate-180 transition-transform" fill="none" stroke="currentColor" viewBox="0 0 24 24">
1<path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M19 9l-7 7-7-7"></path></svg></summary><div class="px-5 md:px-6 pb-5 md:pb-6 text-gray-600 text-base leading-relaxed border-t border-border pt-4">Common side effects include dissociation (feeling disconnected from yourself or surroundings), dizziness, nausea, sedation, increased blood pressure, anxiety, headache, and numbness. These usually occur right after administration and resolve within 2 hours.</div></details></div></div><div class="mb-20"><div class="text-center mb-12"><div class="hhs-tag">Patient Reviews</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">What Our Patients Say</h2></div><div class="grid lg:grid-cols-3 gap-8"><div class="lg:col-span-2"><div class="text-center py-12"><div class="w-8 h-8 border-2 border-teal border-t-transparent rounded-full animate-spin mx-auto"></div></div></div><div><form class="bg-white rounded-2xl p-6 md:p-8 border border-border shadow-sm"><h3 class="font-serif text-xl font-bold text-dark mb-4">Share Your Experience</h3><p class="text-sm text-gray-500 mb-5">Your feedback helps others find the care they need.</p><div class="mb-4"><label for="review-name" class="block text-sm font-medium text-dark mb-1">Your Name</label><input id="review-name" type="text" placeholder="e.g. Jane D." class="w-full border border-border rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-teal/30 focus:border-teal" maxLength="60" value=""/></div><div class="mb-4"><label for="review-text" class="block text-sm font-medium text-dark mb-1">Your Review</label><textarea id="review-text" placeholder="Share your experience with Heritage Health System..." class="w-full border border-border rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-teal/30 focus:border-teal resize-none" rows="4" maxLength="1000"></textarea><div class="text-xs text-gray-400 mt-1 text-right">0<!-- -->/1000</div></div><button type="submit" class="bg-teal text-white text-sm font-semibold px-6 py-3 rounded-button w-full hover:bg-teal-dark transition disabled:opacity-60">Submit Review</button></form></div></div></div><div class="bg-dark rounded-3xl p-6 sm:p-10 md:p-16 text-white text-center overflow-hidden relative mb-20"><div class="absolute inset-0 opacity-5" style="background-image:url(https://images.unsplash.com/photo-1559839734-2b71ea197ec2?w=1200&q=80);background-size:cover;background-position:center"></div><div class="relative z-10"><h3 class="font-serif text-2xl md:text-4xl font-bold mb-5">Take the First Step</h3><p class="text-base md:text-xl text-gray-300 mb-10 max-w-3xl mx-auto">If you or a loved one is struggling with treatment-resistant depression, SPRAVATO® may offer new hope. Heritage Health System is here to guide you through every step of the process - from insurance verification to ongoing treatment.</p><div class="flex flex-col sm:flex-row gap-4 justify-center"><a class="bg-teal text-white text-base font-semibold px-10 py-4 rounded-button text-center w-full sm:w-auto hover:bg-teal-dark transition-colors" href="/contact">Contact Us Today</a><a class="bg-white text-dark text-base font-semibold px-10 py-4 rounded-button text-center w-full sm:w-auto hover:bg-gray-100 transition-colors" href="/contact">Book an Appointment</a></div></div></div><div class="bg-cream rounded-3xl p-4 sm:p-6 md:p-16 mb-10"><div class="max-w-3xl mx-auto text-center mb-12"><div class="inline-block bg-red-50 text-red-700 px-6 py-3 rounded-full text-sm font-bold uppercase tracking-wider mb-6">Important Safety Information</div></div><div class="bg-white rounded-2xl p-8 md:p-10 shadow-md border border-border"><h3 class="font-serif text-xl md:text-2xl font-bold text-dark mb-6">What You Need to Know</h3><div class="space-y-4 text-base md:text-lg text-gray-700 leading-relaxed"><p><strong>SPRAVATO® can cause serious side effects including:</strong> sedation, dissociation, respiratory depression, and risks of abuse and misuse. SPRAVATO® may cause a temporary increase in blood pressure that can last for about 2 hours after administration.</p><p><strong>SPRAVATO® is available only through a restricted program called the SPRAVATO® REMS.</strong> You will be monitored for at least 2 hours after each dose by your healthcare provider. You must arrange for transportation home and should not drive or operate machinery until the next day after a restful sleep.</p><p><strong>The most common side effects include:</strong> feeling disconnected from yourself, your thoughts, feelings, and things around you (dissociation); dizziness; nausea; feeling sleepy; spinning sensation (vertigo); decreased sensitivity or numbness; anxiety; lack of energy; increased blood pressure; vomiting; feeling drunk; headache; and feeling very happy or excited (euphoria). These usually happen right after taking SPRAVATO® and go away the same day.</p><p>SPRAVATO® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. It is not known if SPRAVATO® is safe and effective in children.</p><p>
1Please see full <a href="https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/SPRAVATO-pi.pdf" target="_blank" rel="noopener noreferrer" class="text-teal underline hover:text-teal-dark">Prescribing Information</a>, including Boxed WARNINGS, and <a href="https://www.spravato.com/files/SPRAVATO_Patient_Experience_Digital_Guide.pdf" target="_blank" rel="noopener noreferrer" class="text-teal underline hover:text-teal-dark">Medication Guide</a> for SPRAVATO® and discuss any questions with your healthcare provider.</p><p class="text-gray-500 text-sm pt-4">You are encouraged to report negative side effects of prescription drugs to the FDA. Visit <a href="https://www.fda.gov/medwatch" target="_blank" rel="noopener noreferrer" class="text-teal underline hover:text-teal-dark">www.fda.gov/medwatch</a> or call 1-800-FDA-1088.</p></div></div></div><div class="mb-10"><div class="text-center mb-12"><div class="hhs-tag">Privacy & Compliance</div><h2 class="hhs-h2 text-3xl md:text-4xl mb-4">Your Data Privacy Matters</h2></div><div class="bg-white rounded-3xl p-4 sm:p-8 md:p-12 shadow-md border border-border"><div class="grid md:grid-cols-2 gap-8"><div><h3 class="font-serif text-xl font-bold text-dark mb-4">HIPAA Compliance</h3><p class="text-gray-600 leading-relaxed mb-4">Heritage Health System is fully compliant with the <strong>Health Insurance Portability and Accountability Act (HIPAA)</strong>. All protected health information (PHI) you provide is encrypted, securely stored, and never shared without your explicit written authorization except as required by law.</p><p class="text-gray-600 leading-relaxed">You have the right to access, amend, and request an accounting of disclosures of your health information at any time.</p></div><div><h3 class="font-serif text-xl font-bold text-dark mb-4">Massachusetts Privacy Law</h3><p class="text-gray-600 leading-relaxed mb-4">As a Massachusetts-based practice, we adhere to the <strong>Massachusetts Health Care Privacy Laws (M.G.L. c. 111, § 70E)</strong> and the <strong>Massachusetts Data Breach Notification Law (M.G.L. c. 93H)</strong>. These state laws provide additional protections beyond HIPAA, including stricter requirements for the use and disclosure of medical records.</p><p class="text-gray-600 leading-relaxed">Massachusetts law requires us to maintain reasonable procedures to protect personal information and to notify you promptly in the event of any breach of your unsecured protected health information.</p></div></div><div class="mt-8 pt-8 border-t border-border"><div class="grid md:grid-cols-3 gap-6"><div class="flex items-start gap-3"><svg class="w-5 h-5 text-teal mt-0.5 flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M12 15v2m-6 4h12a2 2 0 002-2v-6a2 2 0 00-2-2H6a2 2 0 00-2 2v6a2 2 0 002 2zm10-10V7a4 4 0 00-8 0v4h8z"></path></svg><div><p class="font-semibold text-dark text-sm">Encrypted Data</p><p class="text-gray-500 text-sm">All form submissions use TLS encryption. Your data is transmitted securely.</p></div></div><div class="flex items-start gap-3"><svg class="w-5 h-5 text-teal mt-0.5 flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M9 12l2 2 4-4m5.618-4.016A11.955 11.955 0 0112 2.944a11.955 11.955 0 01-8.618 3.04A12.02 12.02 0 003 9c0 5.591 3.824 10.29 9 11.622 5.176-1.332 9-6.03 9-11.622 0-1.042-.133-2.052-.382-3.016z"></path></svg><div><p class="font-semibold text-dark text-sm">HIPAA Secure</p><p class="text-gray-500 text-sm">We maintain administrative, physical, and technical safeguards required by HIPAA.</p></div></div><div class="flex items-start gap-3"><svg class="w-5 h-5 text-teal mt-0.5 flex-shrink-0" fill="none" stroke="currentColor" viewBox="0 0 24 24"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M13 16h-1v-4h-1m1-4h.01M21 12a9 9 0 11-18 0 9 9 0 0118 0z"></path></svg><div><p class="font-semibold text-dark text-sm">Your Rights</p><p class="text-gray-500 text-sm">You may request access to your records, request amendments, and opt out of communications at any time.</p></div></div></div></div><div class="mt-6 pt-4 text-xs text-gray-400 leading-relaxed">By submitting this form, you acknowledge that Heritage Health System will use your information to contact you regarding your treatment inquiry. We do not sell or share your personal information with third parties for marketing purposes. For more details, see our full Privacy Policy.</div></div></div><div class="max-w-3xl mx-auto bg-white rounded-3xl p-4 sm:p-8 md:p-12 border border-border shadow-xl"><div class="text-center mb-8"><h3 class="font-serif text-2xl md:text-3xl font-bold text-dark mb-2">Get Started with SPRAVATO®</h3><p class="text-base md:text-lg text-gray-600">
1Submit your information below and we will contact you to discuss SPRAVATO® treatment options.</p></div><div><div class="flex items-center justify-center gap-1 sm:gap-2 mb-6"><div class="flex items-center gap-1 sm:gap-2"><div class="w-7 h-7 sm:w-8 sm:h-8 rounded-full flex items-center justify-center text-xs font-medium bg-teal text-white">1</div><span class="text-[10px] sm:text-xs text-teal font-medium">Patient Info</span><div class="w-3 sm:w-6 h-px bg-gray-200 mx-0.5 sm:mx-1"></div></div><div class="flex items-center gap-1 sm:gap-2"><div class="w-7 h-7 sm:w-8 sm:h-8 rounded-full flex items-center justify-center text-xs font-medium bg-gray-100 text-gray-400">2</div><span class="text-[10px] sm:text-xs text-gray-400">Insurance</span><div class="w-3 sm:w-6 h-px bg-gray-200 mx-0.5 sm:mx-1"></div></div><div class="flex items-center gap-1 sm:gap-2"><div class="w-7 h-7 sm:w-8 sm:h-8 rounded-full flex items-center justify-center text-xs font-medium bg-gray-100 text-gray-400">3</div><span class="text-[10px] sm:text-xs text-gray-400">Emergency Contact</span></div></div><div><h3 class="font-serif text-lg text-dark mb-4">Patient Information</h3><div class="mb-3"><label class="text-xs font-medium text-gray-500 uppercase tracking-wider mb-1.5 block">Patient Name *</label><div class="grid grid-cols-1 sm:grid-cols-2 gap-3"><div><label class="sr-only" for="firstName">First Name</label><input id="firstName" required="" placeholder="First Name *" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="firstName" value=""/></div><div><label class="sr-only" for="lastName">Last Name</label><input id="lastName" required="" placeholder="Last Name *" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="lastName" value=""/></div></div></div><div class="mb-3"><label class="text-xs font-medium text-gray-500 uppercase tracking-wider mb-1.5 block" for="dob">Date of Birth *</label><input id="dob" type="date" required="" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="dob" value=""/></div><div class="mb-4"><p class="text-xs font-medium text-gray-500 uppercase tracking-wider mb-3">Appointment Preference *</p><div class="flex flex-col sm:flex-row gap-2 sm:gap-3"><label class="flex-1 cursor-pointer border rounded-xl px-2 py-2.5 sm:px-3 sm:py-3 text-center transition bg-white text-gray-600 border-border hover:border-teal"><input type="radio" class="sr-only" name="appointmentType" value="in-person"/><span class="text-sm font-medium">In-Person (Quincy, MA)</span></label><label class="flex-1 cursor-pointer border rounded-xl px-2 py-2.5 sm:px-3 sm:py-3 text-center transition bg-white text-gray-600 border-border hover:border-teal"><input type="radio" class="sr-only" name="appointmentType" value="telehealth"/><span class="text-sm font-medium">Telehealth (Video)</span></label><label class="flex-1 cursor-pointer border rounded-xl px-2 py-2.5 sm:px-3 sm:py-3 text-center transition bg-white text-gray-600 border-border hover:border-teal"><input type="radio" class="sr-only" name="appointmentType" value="either"/><span class="text-sm font-medium">No Preference</span></label></div></div><div class="mb-3"><label class="sr-only" for="address">Street Address</label><input id="address" placeholder="Street Address" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="address" value=""/></div><div class="grid grid-cols-2 gap-2 sm:grid-cols-4 sm:gap-3 mb-3"><div class="col-span-2"><label class="sr-only" for="city">City</label><input id="city" placeholder="City" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="city" value=""/></div><div><label class="sr-only" for="state">State</label><select id="state" name="state" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans"><option value="">State *</option><option value="AL">AL</option><option value="AK">AK</option><option value="AZ">AZ</option><option value="AR">AR</option><option value="CA">CA</option><option value="CO">CO</option><option value="CT">CT</option><option value="DE">DE</option><option value="FL">FL</option><option value="GA">GA</option><option value="HI">HI</option><option value="ID">ID</option><option value="IL">IL</option><option value="IN">IN</option><option value="IA">IA</option><option value="KS">KS</option><option value="KY">KY</option><option value="LA">LA</option><option value="ME">ME</option><option value="MD">MD</option><option value="MA" selected="">MA</option><option value="MI">MI</option><option value="MN">MN</option><option value="MS">MS</option><option value="MO">MO</option><option value="MT">MT</option><option value="NE">NE</option><option value="NV">NV</option><option value="NH">NH</option><option value="NJ">
1NJ</option><option value="NM">NM</option><option value="NY">NY</option><option value="NC">NC</option><option value="ND">ND</option><option value="OH">OH</option><option value="OK">OK</option><option value="OR">OR</option><option value="PA">PA</option><option value="RI">RI</option><option value="SC">SC</option><option value="SD">SD</option><option value="TN">TN</option><option value="TX">TX</option><option value="UT">UT</option><option value="VT">VT</option><option value="VA">VA</option><option value="WA">WA</option><option value="WV">WV</option><option value="WI">WI</option><option value="WY">WY</option></select></div><div><label class="sr-only" for="zip">ZIP Code</label><input id="zip" placeholder="ZIP" maxLength="5" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="zip" value=""/></div></div><div class="grid grid-cols-1 sm:grid-cols-2 gap-3 mb-3"><div><label class="sr-only" for="phone">Phone Number</label><input id="phone" type="tel" required="" placeholder="Phone Number * (e.g. 555-123-4567)" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="phone" value=""/></div><div><label class="sr-only" for="email">Patient Email</label><input id="email" type="email" required="" placeholder="Email *" class="w-full bg-white border border-[#ccdadb] rounded-lg px-4 py-3 text-sm text-gray-700 outline-none font-sans" name="email" value=""/></div></div><div class="bg-teal/5 border border-teal/10 rounded-lg p-4 mt-4"><label class="flex items-start gap-3 cursor-pointer"><input type="checkbox" class="mt-0.5 w-4 h-4 rounded border-gray-300 text-teal focus:ring-teal" name="hipaaConsent"/><span class="text-xs text-gray-600 leading-relaxed">I have read and agree to the <a target="_blank" class="text-teal hover:text-teal-dark underline" href="/privacy">Notice of Privacy Practices</a>. I acknowledge that my health information will be used and disclosed as described in the HIPAA Privacy Policy. I understand I may request a copy of the full Notice at any time.</span></label></div><div class="bg-blue-50 border border-blue-100 rounded-lg p-4 mt-3"><label class="flex items-start gap-3 cursor-pointer"><input type="checkbox" class="mt-0.5 w-4 h-4 rounded border-gray-300 text-teal focus:ring-teal" name="smsConsent"/><span class="text-xs text-gray-600 leading-relaxed">By checking this box, you agree to receive SMS messages from Heritage Health System related to appointment scheduling, appointment reminders, care coordination, follow-up care, prescription and treatment updates, billing notifications, insurance verification, and other healthcare-related communications. You may reply STOP to opt out at any time. Reply HELP to (781) 742-0834 for assistance. Message and data rates may apply. Message frequency will vary. Learn more in our <a target="_blank" class="text-teal hover:text-teal-dark underline" href="/privacy">Privacy Policy</a> and <a target="_blank" class="text-teal hover:text-teal-dark underline" href="/terms">Terms & Conditions</a>.</span></label></div></div><div class="flex justify-between mt-6 pt-4 border-t border-border"><div><div></div></div><button disabled="" class="bg-teal text-white text-sm px-6 py-2.5 rounded-button font-medium disabled:opacity-50 disabled:cursor-not-allowed hover:bg-teal-dark transition">Continue</button></div></div></div></div></div><div class="bg-dark hhs-section"><div class="max-w-5xl mx-auto text-center relative overflow-hidden rounded-3xl p-10 md:p-16 border border-white/10"><div class="absolute inset-0 opacity-5" style="background-image:url(https://images.unsplash.com/photo-1559839734-2b71ea197ec2?w=1200&q=80);background-size:cover;background-position:center"></div><div class="relative z-10"><h3 class="font-serif text-2xl md:text-4xl font-bold text-white mb-4">Ready to Take the Next Step?</h3><p class="text-base md:text-xl text-gray-300 mb-10 max-w-3xl mx-auto">Whether you're exploring SPRAVATO® for treatment-resistant depression or need personalized mental health care, Heritage Health System is here to supp
1ort you.</p><div class="flex flex-col sm:flex-row gap-4 justify-center"><a class="bg-teal text-white text-base font-semibold px-10 py-4 rounded-button text-center w-full sm:w-auto hover:bg-teal-dark transition-colors" href="/spravato">Learn About SPRAVATO®</a><a class="bg-white text-dark text-base font-semibold px-10 py-4 rounded-button text-center w-full sm:w-auto hover:bg-gray-100 transition-colors" href="/contact">Book an Appointment</a></div></div></div></div></main><footer class="bg-dark px-4 sm:px-6 md:px-12 pt-10 sm:pt-14 pb-8"><div class="max-w-6xl mx-auto grid grid-cols-1 md:grid-cols-[2fr_1fr_1fr] gap-10 mb-8"><div><div class="flex items-center gap-3 mb-4"><img src="/logo.png" alt="Heritage Health System" class="h-16 md:h-20 w-auto object-contain"/></div><p class="text-sm text-gray-400 leading-relaxed max-w-sm">Comprehensive mental health care including evaluations, counseling, and medication management. Personalized treatment plans for lasting emotional well-being.</p><div class="flex gap-3 mt-5"><a href="https://www.facebook.com/heritagehealthsystem" target="_blank" rel="noopener noreferrer" class="w-9 h-9 rounded-full border border-white/20 flex items-center justify-center text-gray-400 hover:text-teal hover:border-teal transition"><svg class="w-4 h-4" fill="currentColor" viewBox="0 0 24 24"><path d="M24 12.073c0-6.627-5.373-12-12-12s-12 5.373-12 12c0 5.99 4.388 10.954 10.125 11.854v-8.385H7.078v-3.47h3.047V9.43c0-3.007 1.792-4.669 4.533-4.669 1.312 0 2.686.235 2.686.235v2.953H15.83c-1.491 0-1.956.925-1.956 1.874v2.25h3.328l-.532 3.47h-2.796v8.385C19.612 23.027 24 18.062 24 12.073z"></path></svg></a><a href="https://instagram.com/heritagehealthsystem1" target="_blank" rel="noopener noreferrer" class="w-9 h-9 rounded-full border border-white/20 flex items-center justify-center text-gray-400 hover:text-teal hover:border-teal transition"><svg class="w-4 h-4" fill="currentColor" viewBox="0 0 24 24"><path d="M12 2.163c3.204 0 3.584.012 4.85.07 3.252.148 4.771 1.691 4.919 4.919.058 1.265.069 1.645.069 4.849 0 3.205-.012 3.584-.069 4.849-.149 3.225-1.664 4.771-4.919 4.919-1.266.058-1.644.07-4.85.07-3.204 0-3.584-.012-4.849-.07-3.26-.149-4.771-1.699-4.919-4.92-.058-1.265-.07-1.644-.07-4.849 0-3.204.013-3.583.07-4.849.149-3.227 1.664-4.771 4.919-4.919 1.266-.057 1.645-.069 4.849-.069zM12 0C8.741 0 8.333.014 7.053.072 2.695.272.273 2.69.073 7.052.014 8.333 0 8.741 0 12c0 3.259.014 3.668.072 4.948.2 4.358 2.618 6.78 6.98 6.98C8.333 23.986 8.741 24 12 24c3.259 0 3.668-.014 4.948-.072 4.354-.2 6.782-2.618 6.979-6.98.059-1.28.073-1.689.073-4.948 0-3.259-.014-3.667-.072-4.947-.196-4.354-2.617-6.78-6.979-6.98C15.668.014 15.259 0 12 0z"></path><path d="M12 5.838a6.162 6.162 0 100 12.324 6.162 6.162 0 000-12.324zM12 16a4 4 0 110-8 4 4 0 010 8zm6.406-11.845a1.44 1.44 0 100 2.881 1.44 1.44 0 000-2.881z"></path></svg></a><a href="https://www.linkedin.com/company/heritagehealthsystem" target="_blank" rel="noopener noreferrer" class="w-9 h-9 rounded-full border border-white/20 flex items-center justify-center text-gray-400 hover:text-teal hover:border-teal transition"><svg class="w-4 h-4" fill="currentColor" viewBox="0 0 24 24"><path d="M20.447 20.452h-3.554v-5.569c0-1.328-.027-3.037-1.852-3.037-1.853 0-2.136 1.445-2.136 2.939v5.667H9.351V9h3.414v1.561h.046c.477-.9 1.637-1.85 3.37-1.85 3.601 0 4.267 2.37 4.267 5.455v6.286zM5.337 7.433c-1.144 0-2.063-.926-2.063-2.065 0-1.138.92-2.063 2.063-2.063 1.14 0 2.064.925 2.064 2.063 0 1.139-.925 2.065-2.064 2.065zm1.782 13.019H3.555V9h3.564v11.452zM22.225 0H1.771C.792 0 0 .774 0 1.729v20.542C0 23.227.792 24 1.771 24h20.451C23.2 24 24 23.227 24 22.271V1.729C24 .774 23.2 0 22.222 0h.003z"></path></svg></a></div></div><div><div class="text-sm font-medium text-white mb-4">Quick Links</div><div class="flex flex-col gap-2.5"><a class="text-sm text-gray-400 hover:text-teal transition w-fit" href="/">Home</a><a class="text-sm text-gray-400 hover:text-teal transition w-fit" href="/about">About</a><a class="text-sm text-gray-400 hover:text-teal transition w-fit" href="/blog">Blog</a><a class="text-sm text-gray-400 hover:text-teal transition w-fit" href="/contact">Contact</a><a class="text-sm text-gray-400 hover:text-teal transition w-fit" href="/preceptorship">Preceptorship</a><a class="text-sm text-gray-400 hover:text-teal transition w-fit" href="/refill-request">
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