Central CT Anxiety / OCD Treatment, LLC860-436-225035 Cold Spring Road, Suite 122, Rocky Hill, CT 06067Email Us Using the Contact Form Full name* First Last Email Phone*Address* Street Address City State / Province / Region ZIP / Postal Code Briefly describe what brings you to therapy*A brief overview is enough. Please avoid detailed medical information.A brief overview is enough. Please avoid detailed medical information.Do you plan to use insurance?*YesNo / self-payUnsureAppointment preference*VirtualIn-officeEitherAvailabilitySelect all days that work for you. Monday Tuesday Wednesday Thursday Friday Preferred timesSelect all that apply. Morning Afternoon Evening Flexible Specific times or scheduling needs (optional)How did you hear about us?This form is not monitored for emergencies. If you are in immediate danger, call 911 or go to the nearest emergency department.
