Psychiatric Care Across Massachusetts. Telehealth and In-Person in Medway
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Greater Boston Psychiatric Services
RMV Psychiatric Evaluations (Form MAB118) completed by licensed psychiatric clinicians, by secure video or in person at our Medway office.
Completed by credential types Massachusetts accepts for Form MAB118
Available in as little as 48 hours when your deadline is close
$450 flat, or $525 combined with a substance abuse evaluation
Completed form submitted to RMV Medical Affairs
We coordinate dates and documents with your attorney
RMV Psychiatric Evaluations in Pioneer Valley
If RMV Medical Affairs has asked you to complete a Psychiatric Evaluation (Form MAB118), Greater Boston Psychiatric Services can complete it for adults throughout the Pioneer Valley.
Most clients complete their evaluation by secure video from home. If you'd rather meet face to face, our office is at 165 Main Street, Suite 111A, Medway, MA 02053.
Towns We Serve in Pioneer Valley
Our RMV Psychiatric Evaluations are available to adults located anywhere in the Pioneer Valley, Springfield and the Connecticut River valley, from Holyoke and Westfield up through Northampton, Amherst, Hadley and Greenfield.
That includes drivers in Springfield and Hadley.
We also serve Chicopee, Holyoke, Westfield, West Springfield, Agawam, Ludlow, Longmeadow, East Longmeadow, Northampton, Easthampton, Amherst, South Hadley, Belchertown and Greenfield, and every other community in the region.
Courts and RMV Offices in Pioneer Valley
RMV Service Centers in the Pioneer Valley include:
Springfield RMV Service Center
Easthampton RMV Service Center
Greenfield RMV Service Center
Form MAB118 is reviewed centrally by RMV Medical Affairs, so your local service center is mainly relevant for license transactions after a decision is made.
What Is the RMV Psychiatric Evaluation (Form MAB118)?
RMV Medical Affairs requests a Psychiatric Evaluation (Form MAB118) when it has received a report, from a health care provider or law enforcement official, suggesting that a driver may have a psychiatric or medical condition affecting their ability to drive safely. It is a different requirement from the substance abuse evaluation with risk of recidivism: it is not tied to an OUI or DUI case, and it can be requested whenever Medical Affairs has a safety concern about a driver's mental health.
Massachusetts requires the form to be completed by a physician licensed in the state or a psychiatric nurse practitioner, which are the credential types on our clinical team.
How the Process Works
Check your notice. Read the request you received from RMV Medical Affairs and note any deadline it gives.
Complete the quick form. Include any deadline on your notice and your attorney's name if you have one.
Meet with your clinician. By secure video, or in person at our Medway office.
We submit the completed form to RMV Medical Affairs, consistent with the RMV's own process.
Turnaround: in as little as 48 hours when your deadline is close. Tell us your date and we'll prioritize accordingly.
What the Evaluation Assesses
The specific condition or concern named in the RMV's request
Current symptoms and how they may affect safe driving
Relevant treatment history and current treatment status
Current medications and how they affect alertness and judgment
A clinical judgment on fitness to operate a motor vehicle, per the form's requirements
How to Prepare
Have your RMV Medical Affairs letter and the MAB118 form on hand.
Gather any recent treatment records or a list of your current medications.
For a video appointment, find a private space with a stable internet connection and a device with a camera.
Answer openly. The evaluation is only as useful as the information it is based on.
Because our clinical team includes multiple board-certified psychiatric nurse practitioners and clinical nurse specialists, we can often offer earlier appointments than a practice that depends on a single provider's schedule.
After Your Evaluation
We submit the completed form to RMV Medical Affairs, so you won't need to forward anything yourself. Medical Affairs then reviews it as part of its own determination about your driving privileges. Processing time on the RMV's end is outside our control, so schedule with enough runway before any deadline.
Pricing
RMV Psychiatric Evaluation (Form MAB118): $450
Psychiatric Evaluation + Substance Abuse Evaluation: $525
Expedited scheduling (add-on): +$225
Payment
This evaluation is self-pay only. RMV-required evaluations are a legal requirement rather than medical treatment, so we are not able to bill insurance, Medicare or Medicaid. Payment is collected at the time of your appointment. See our Good Faith Estimate.
Frequently Asked Questions
How is this different from the RMV substance abuse evaluation?
The substance abuse evaluation with risk of recidivism relates to OUI and DUI cases. Form MAB118 is requested by RMV Medical Affairs whenever it receives a report, not necessarily related to alcohol or drugs, suggesting a psychiatric or medical condition may affect your ability to drive safely.
Who is allowed to complete Form MAB118?
Massachusetts requires the form to be completed by a physician licensed in Massachusetts or a psychiatric nurse practitioner, both credential types on our clinical team.
Do I have to travel for this evaluation?
No. Adults anywhere in the Pioneer Valley can complete the evaluation by secure video, or in person at our Medway office.
Is a video evaluation accepted?
Yes. The clinical content and the completed form are the same whether you attend by video or in person at our Medway office.
How soon can I get an appointment?
In as little as 48 hours when your deadline is close. Expedited scheduling is available for an additional $225.
Can I request a copy of the completed form?
Yes. You can request a copy for your records; the original is still submitted to RMV Medical Affairs as required.
What if RMV Medical Affairs has follow-up questions?
Medical Affairs may follow up with you directly or request more information. We're glad to complete a follow-up evaluation if one is requested.
Will you work with my attorney?
Yes. List your attorney on the intake form and we'll coordinate dates and documents.
Is this evaluation confidential?
Your evaluation follows standard clinical confidentiality practices, with the exception of the completed form we are required to submit to RMV Medical Affairs.
More RMV Evaluation Resources
See our statewide RMV Psychiatric Evaluations page for other regions, or our Pioneer Valley RMV substance abuse evaluations page if your case is OUI-related.
Crash and Impaired Driving Statistics in Pioneer Valley
The five-year MassDOT crash count for Pioneer Valley (2021 to 2025) is 62,940. That includes 1,611 crashes with suspected alcohol, 453 with suspected drug use and 215 fatal crashes. These figures add up MassDOT's records for 16 towns in the region.
Data come from the MassDOT IMPACT Crash Data Portal (accessed October 2026). Suspected alcohol and drug flags depend on what was recorded at the scene, so they probably understate impaired driving, and crashes are not the same as OUI charges.
For background on how psychiatric and medical conditions relate to driving safety, see our article on recidivism, mental health and RMV evaluations. It includes discussion of schizophrenia. We also describe the conditions we treat.
Crash and OUI Data by Town in the Pioneer Valley
MassDOT recorded 62,940 crashes across the 16 towns we serve in the Pioneer Valley between 2021 and 2025. 1,611 were flagged with suspected alcohol, 453 with suspected drug use, and 215 were fatal. Town totals are listed below, highest first.
Springfield: 18,493 crashes (254 suspected alcohol, 80 suspected drug use, 79 fatal)
Chicopee: 8,598 crashes (272 suspected alcohol, 71 suspected drug use, 34 fatal)
Holyoke: 6,970 crashes (100 suspected alcohol, 39 suspected drug use, 25 fatal)
West Springfield: 5,360 crashes (94 suspected alcohol, 23 suspected drug use, 15 fatal)
Agawam: 3,352 crashes (78 suspected alcohol, 16 suspected drug use, 10 fatal)
Westfield: 3,037 crashes (122 suspected alcohol, 24 suspected drug use, 5 fatal)
Ludlow: 2,651 crashes (73 suspected alcohol, 18 suspected drug use, 9 fatal)
Northampton: 2,539 crashes (94 suspected alcohol, 33 suspected drug use, 6 fatal)
Greenfield: 2,189 crashes (78 suspected alcohol, 26 suspected drug use, 7 fatal)
Palmer: 1,839 crashes (127 suspected alcohol, 44 suspected drug use, 6 fatal)
Amherst: 1,715 crashes (82 suspected alcohol, 11 suspected drug use, 3 fatal)
Hadley: 1,597 crashes (49 suspected alcohol, 14 suspected drug use, 4 fatal)
Longmeadow: 1,520 crashes (47 suspected alcohol, 15 suspected drug use, 4 fatal)
Easthampton: 1,382 crashes (70 suspected alcohol, 13 suspected drug use, 4 fatal)
South Hadley: 1,128 crashes (46 suspected alcohol, 18 suspected drug use, 1 fatal)
Deerfield: 570 crashes (25 suspected alcohol, 8 suspected drug use, 3 fatal)
Source: MassDOT IMPACT Crash Data Portal, accessed October 2026. Suspected alcohol and drug flags depend on what was recorded at the scene and likely understate impaired driving, and a crash is not the same as an OUI charge.
Completing Your Evaluation Without Leaving the Pioneer Valley
You do not have to travel to complete a RMV Psychiatric Evaluation (Form MAB118). Drivers anywhere in the Pioneer Valley can meet with a Greater Boston Psychiatric Services clinician by secure video, or in person at our Medway office, 165 Main Street, Suite 111A. Call (508) 321-3210 with questions before you schedule.
Bring your RMV letter or hearing notice to your intake so we can confirm what it asks for. If it lists the RMV substance abuse evaluation as well, see our RMV substance abuse evaluation page for the Pioneer Valley, and ask about the combined rate.
For the research on how mental health, medications and impaired driving connect, and how clinicians assess recidivism risk, read Recidivism, Mental Health and RMV Evaluations in Massachusetts. You can also see the conditions we treat.