Appointment Form

Menu
Skip to right header navigation
Skip to primary navigation
Skip to main content
Skip to primary sidebar
Skip to footer

Before Header

Helping abused women, children, men, and nonbinary people live free from violence and fear

Header Right

Donate Now

Home
Domestic Violence
Services
About HAWC
Give Help Now
Blog
Contact Us
Exit

You are here: Home / Get Help Now / Services / Appointment Form

HAWC Offices are fully open and operational. Appointments to meet with staff can be in person, at the office, or remotely upon request. Please call our office at 978-744-8552 during regular business hours (Monday – Friday between 9 am and 5 pm) and our 24-hour hotline at 1-800-547-1649 anytime for support. If it is easier for you to request an appointment electronically, please fill out the form below, and an advocate will be in touch soon.

Please be careful when you use this form. If it is not safe for an advocate to reach out to you via email or phone, we recommend waiting until you can have a moment alone to call our office or hotline. As always, your safety is paramount to us, and we will be here to support you in any way that we can.

Request an Appointment

Contact Information
First Name*
Last Name*
In what city or town do you live?*
- Beverly
- Boxford
- Danvers
- Essex
- Georgetown
- Gloucester
- Hamilton
- Ipswich
- Lynn
- Lynnfield
- Magnolia
- Manchester by the Sea
- Marblehead
- Middleton
- Nahant
- Peabody
- Rockport
- Rowley
- Salem
- Saugus
- Swampscott
- Topsfield
- Wenham
HAWC serves survivors residing in 23 cities and towns on Massachusetts' North Shore. If you reside in Massachusetts but your city or town is not included in the list above, please visit https://janedoe.org/find_help/ to identify the domestic violence agency in your region that can best meet your needs. Those outside of Mass. can call the National Network to End Domestic Violence hotline at 1-800-799-SAFE (7233) for support.
What is the safest way for us to reach out to you?*
- Phone
- Email
Phone Number*

Please note: HAWC's phone number comes up as a blocked caller for confidentiality reasons.
Best time to reach you
If there is a time of day that is safest for you to recieve a phone call from us during our regular business hours of Monday - Friday, 9 am - 5 pm, please indicate it above. If you need support during our off-hours, the best way to reach us is to call our 24-hour hotline at 1-800-547-1649.
Is it safe to leave a voicemail at this number?*
- Yes
- No
Please note: If you do not have voicemail or your mailbox is full, we will attempt to reach you several times. If we do not make contact within a week of you making this request, please resubmit your request.
If someone else answers your phone for you, can we leave a message with them?
- Yes
- No
May we identify ourselves as HAWC when we call?*
- Yes
- No
If we cannot identify ourselves as HAWC, what can we say when we call?
Email

What's the best and safest email address to reach you?
Services
What services do you think you are interested in?
- Advocacy & Personal Support: One-on-One Support from an Advocate who can share resources and identify which programs might be appropriate for your needs.
- Legal Services: Consultation with a Legal Advocate who can educate you about your legal options.
- Children's Services: Consultation with an Advocate to learn more about how you can support your child during this time.
- Emergency Shelter
- I am not sure what services I need.
Additional Information
What is your preferred language?
Do you have any accommodation or accessibility needs? If yes, please describe below.
We understand that what may be safe at one moment may not be safe at another. In the event that we contact you and you need to end the call quickly, please choose a word or phrase that you can say to indicate to HAWC staff that you need to end the call. We will try to respond in a natural way that helps keep your cover.
Is there anything else you would like us to know before we reach out?
Name
This field is for validation purposes and should be left unchanged.

Footer

HAWC Locations

HAWC serves 23 cities on Massachusetts’ North Shore from the five central locations listed below.

Salem, MA 978-744-8552
Gloucester, MA 978-283-8642
Lynn, MA 781-592-9900
North Shore Medical Center 978-354-4383
For 24-hour support, call our hotline at: 1-800-547-1649
Para apoyo llama nuestra linea de 24 horas a 1-800-547-1649.

Follow HAWC

For up-to-date information on domestic violence awareness and opportunities for action, follow us on Facebook and Twitter!

Stay in Touch

Join our mailing list and receive updates and news about HAWC.

First Name*
Last Name*
Email*
Name
This field is for validation purposes and should be left unchanged.

Request an Appointment

Contact Information

Services

Additional Information

Footer

HAWC Locations

Follow HAWC

Stay in Touch