Intake Forms

Social Anxiety Help

Larry Cohen, LICSW

Intake Forms

Client Information Sheet

Payment Plans & Contract

Good Faith Estimate

Credit/Debit Card Authorization

Rights and Responsibilities

Privacy Policy

Release of Information

Group Norms and Contract

Consent for In-Person Services During COVID-19 Pandemic


If you have any questions or comments, please email Larry Cohen, LICSW, with offices in Washington, DC.

Social Anxiety Help is a founding regional clinic of the National Social Anxiety Center (NSAC):