Vermont Center for Anxiety Care
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Welcome

New Patient Intake Forms

To set up services at the Vermont Center for Anxiety Care, please complete an initial intake form. Once you have scheduled an appointment with a therapist, please complete the additional intake forms listed below before your first session. 
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Initial Intake Forms:

Adult Intake Form
Child & Adolescent Intake

Additional Intake Forms:

paul foxman
Audrey winograd
lisa pisani
Cheryl shive
maria vogt
Rachel Natvig
ryan welborn
mollie farnham-stratton
carolyn balparda
maja zovko
annie williams
kaytlyn elliott
tiffany tuttle
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