Skip to content
301-610-7850
|
clinic-coordinator@changeanxiety.com
About Us
Our Staff
Rockville Office
Northern Virginia Office
What is CBT?
What is Exposure Therapy?
FAQ
Public Speaking
Postdoctoral Fellowship
Services
Child & Adolescent Services
Adult Services
Groups
Specialized Programs
Social Anxiety
Anxiety-Based School Refusal
Specialized Parent Training
Trauma Focused CBT
Selective Mutism
Confident Kids Camp
About Confident Kids Camp
What is Selective Mutism?
FAQ
CKC DC Metro Costs
CKC Outcomes
Meet the Camp Team
Locations
DC Metro
Michigan
Register
Resources
Contact
Inquire
Directions to Our Offices
Intake Forms
About Us
Our Staff
Rockville Office
Northern Virginia Office
What is CBT?
What is Exposure Therapy?
FAQ
Public Speaking
Postdoctoral Fellowship
Services
Child & Adolescent Services
Adult Services
Groups
Specialized Programs
Social Anxiety
Anxiety-Based School Refusal
Specialized Parent Training
Trauma Focused CBT
Selective Mutism
Confident Kids Camp
About Confident Kids Camp
What is Selective Mutism?
FAQ
CKC DC Metro Costs
CKC Outcomes
Meet the Camp Team
Locations
DC Metro
Michigan
Register
Resources
Contact
Inquire
Directions to Our Offices
Intake Forms
About Us
Our Staff
Rockville Office
Northern Virginia Office
What is CBT?
What is Exposure Therapy?
FAQ
Public Speaking
Postdoctoral Fellowship
Services
Child & Adolescent Services
Adult Services
Groups
Specialized Programs
Social Anxiety
Anxiety-Based School Refusal
Specialized Parent Training
Trauma Focused CBT
Selective Mutism
Confident Kids Camp
About Confident Kids Camp
What is Selective Mutism?
FAQ
CKC DC Metro Costs
CKC Outcomes
Meet the Camp Team
Locations
DC Metro
Michigan
Register
Resources
Contact
Inquire
Directions to Our Offices
Intake Forms
Intake Forms
AmyAdminCABC
2019-05-10T16:04:11-04:00
Intake Forms
Please fill out all of these forms:
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
Inquire
Directions to Our Offices
Intake Forms
