Bull City Anxiety & OCD Treatment Center is considered an out-of-network provider for most insurance plans. It is your responsibility to check your benefits to determine your coverage details. Additional information about insurance coverage and billing can be found on our "Fees" page.
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I am interested in receiving services:
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In-person
Virtually
Either one is fine
Name
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First Name
Last Name
Email
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Date of Birth
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Gender
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How did you find out about us?
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Do you reside in the state of North Carolina?
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Which treatment program are you interested in?
What are the primary anxiety, OCD, or mood concerns that bring you to treatment?
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Which of the following are also concerns bringing you to treatment:
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If you checked 'OCD' above, which of the following themes/subtypes are your CURRENTLY experiencing? If this does not apply to you, please move on to the next item.
Have you been hospitalized for safety concerns or substance abuse in the last three months?
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Please use this space to provide any additional information that you think would be helpful in determining if we're a good fit for your current needs:
Are there any questions we can answer for you by email regarding our services, policies, or procedures for new patients?
Newsletter
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Thank you for completing our screener! We'll do our best to be in touch within 1-3 business days.
