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301-610-7850|intake-coordinator@changeanxiety.com

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About Us
Services & Specializations
Confident Kids Camp
Resources
Contact

About Us
Services & Specializations
Confident Kids Camp
Resources
Contact

About Us
Services & Specializations
Confident Kids Camp
Resources
Contact

Intake FormsAmyAdminCABC2020-07-02T14:22:44-04:00

Intake Forms

The following forms will be provided to all new clients prior to the first session with a clinician.

New Patient Information Packet
Credit Card Authorization Form
Privacy Notice
Release of Information Form
Outpatient Services Agreement (Consent)
Billing & Fees Agreement
Parent of Child Screening Forms

Phone & Email Directory
Directions to Our Offices
Intake Forms

Our Locations

50 W. Montgomery Avenue, Suite 110
Rockville, MD 20850
phone: 301-610-7850

1487 Chain Bridge Road, Suite 203
McLean, VA 22101
phone: 703-908-1020

Accomodations

For patients traveling internationally and domestically for services at CABC, we have lower negotiated rates at the Cambria Hotel in downtown Rockville that is walking distance to our center.

Copyright © 2014- Center for Anxiety & Behavioral Change • All rights reserved
Website by Newton Designs

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Due to the Coronavirus (COVID-19), CABC is offering secure, HIPAA-compliant telehealth at this time. No treatment will be in-person until further notice. Thank you.