If you are new to therapy or counseling with Bucks County Anxiety Center please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.
Patient Intake Forms:
BCAC New Patient Intake Form
Release of Information Forms:
BCAC Release of Information Form
Credit Card Forms:
BCAC Credit Card Authorization Form – Patient using own card
Below is a copy of our Privacy/HIPAA statement. Please read this before your first session and sign the HIPAA Acknowledgement/Consent form. You may access this privacy statement at any time.
Medicaid Waiver Form