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(203) 769-1365

New Client Forms & Procedures

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New Client Info

Before your first visit to The Anxiety Treatment Center of Greenwich

New clients, please read and complete the information below to help us make your visit as helpful, enjoyable, and efficient as possible

Please download, print, and complete the appropriate New Patient Form — the Child New Patient Form if the patient is under 18, or the Adult New Patient Form if the patient is 18 or older. In addition, all patients must fill out the Consent for Treatment Form, Payment Information Form, Communication Policy Form, and Release of Information Form. Please bring all completed forms with you to your initial appointment.

Child

for patients under the age of 18

Child New Patient Form
Child Payment Information
Child Consent For Treatment Form
Communication Policy
Release of Information Form

Adult

for patients over the age of 18

Adult New Patient Form
Adult Payment Information
Communication Policy
Release of Information Form

*While we do not bill insurance directly, we encourage you to explore your out-of-network benefits. Our services are generally reimbursed by health savings accounts.

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(203) 769-1365
Anxiety Treatment Center of Greenwich logo

We provide expert diagnosis and evidence-based treatment for anxiety disorders in children, adolescents, and adults—helping individuals and families move forward with clarity and confidence.

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