Vermont Center for Anxiety Care
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  • Vermont Center for Anxiety Care
    • About the Vermont Center for Anxiety Care
    • Our Therapists
    • Professional Opportunities
    • Continuing Education
    • New Patient Registration Forms
  • Books and Products
  • Dr. Paul Foxman
  • Speaking Engagements
    • Upcoming Speaking Engagements
    • Workshop Topics
    • Testimonials
  • Contact

Welcome

New Patient Registration Forms

Before your first visit to the Vermont Center for Anxiety Care, please download and complete the following registration forms:
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  • Adult Intake Form
  • Child and Adolescent Intake Form
  • New Patient Registration Form
  • Child Developmental History Form
  • Patient Policy Form
  • Patient Privacy Notice
  • Patient Privacy Acknowledgement​
Vermont Center for Anxiety Care (Affiliated with Otter Creek Associates) • 112 Lake St., Burlington, VT 05401 • (802) 865-3450
  • Home
  • Vermont Center for Anxiety Care
    • About the Vermont Center for Anxiety Care
    • Our Therapists
    • Professional Opportunities
    • Continuing Education
    • New Patient Registration Forms
  • Books and Products
  • Dr. Paul Foxman
  • Speaking Engagements
    • Upcoming Speaking Engagements
    • Workshop Topics
    • Testimonials
  • Contact