Vermont Center for Anxiety Care
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Additional Intake Forms -
Annie Williams

Adult Intake Forms

billing and registration form
Patient Policy Form
patient privacy notice
patient privacy acknowledgement
teletherapy consent form
professional disclosure
BILLING UPDATE FORM
CREDIT CARD FORM

Child & Adolescent Intake Forms

child info & developmental history
billing and registration
patient policy form
Patient Privacy Notice
patient privacy acknowledgement
teletherapy consent form
professional disclosure
BILLING UPDATE FORM
CREDIT CARD FORM
Vermont Center for Anxiety Care (Affiliated with Otter Creek Associates) • 112 Lake St., Burlington, VT 05401 • Tel: 802-865-3450 ext. 480 • Fax: 802-859-3309
  • Home
  • Vermont Center for Anxiety Care
    • About the Vermont Center for Anxiety Care >
      • Our Therapists
    • Our Therapists
    • Professional Opportunities
    • Continuing Education
  • New Patient Intake Forms
  • Books and Products
  • Dr. Paul Foxman
  • Speaking Engagements
    • Upcoming Speaking Engagements
    • Workshop Topics
    • Testimonials
  • Contact