Intensive Child CBT Referral Form

The Child CBT program provides state-of-the-art cognitive-behavioral therapy to children, adolescents, and young adults with a range of emotional and behavioral problems, while advancing the scientific understanding of CBT approaches, and fostering the dissemination of CBT to patients, families, and professionals.

Intensive Cognitive Behavioral Therapy Program
For Youth with Anxiety Disorders

Please note: All questions on this form are required to be answered. If a question is not applicable, or if you don't know the answer, you may type in "n/a" for "not applicable".

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