Get Started with CBTeam • OCD & Anxiety Specialists

Schedule a Consultation

Thank you for your interest in contacting CBTeam. To schedule a free phone consultation with our Intake Coordinator, please fill out this form and we will get back to you as soon as possible.

Name of Client *

Name of person filling out this form (if different)

Date of Birth (of person receiving treatment) *

Email address *

Phone number *

Why are you seeking our services? *

Which service(s) are you interested in pursuing? *

Individual Therapy

Intensive Outpatient therapy (IOP)

Speech and Language Pathology (SLP)

SPACE program geared towards parents

Assessments / Evaluations

Other

How did you hear about CBTeam? *

Do you understand that we are exclusively a self-pay program, with rates ranging from $175-$300 per hour depending on licensure? *

Yes

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Let's Get Started