Cancellation policy: 14 days prior, full refund minus $40 administration fee. Within 14 days, ½ fee or apply fee to future workshop, minus $40.
By referral only: Registrants must submit a referral form (see below) from any health professional who has diagnosed you in the past, or have a clinical interview with our staff.
How to submit your application
IF YOU HAVE ANY TROUBLE DOWNLOADING THE FORMS BELOW, REQUEST THE FORMS IN AN EMAIL TO RRW@MED.UNC.EDU
If you can’t edit downloaded form, try to open it with Adobe Reader program
To participate in one of our Weekend Treatment Groups, we need to receive 2 documents from you:
The Weekend Treatment Client Registration form in which you tell us who you are, which date you are registering for and what credit card you want to use for billing purposes. Click here to: Download the Weekend Treatment Client registration. OR see the 2 PDF links at the bottom of this page.
The Health Professional Referral in which your health care professional refers you to our Treatment Group. Click here to: Download the Health Professional Referral form. OR see the 2 PDF links at the bottom of this page.
For your registration we have to receive both documents either
by fax to 1-866 -774-9511
by e-mail to firstname.lastname@example.org
by mail to Anxiety Disorders Treatment Center, Suite 110, 5003 Southpark Drive, Durham, NC 27713
Once we have received both documents, we will confirm your spot in out Treatment Group.
We are looking forward to meeting you!