Contact and Pre-screening Form

Thank you for your interest in my specialty practice. Please note, that I am presently prioritizing young adults and millennials seeking treatment for repugnant, unwanted obsessions and doubting and checking sub-type of OCD. While I do work with teens 17 and older, I am highly selective when considering a prospective client under the age of 21. I do ask that the person seeking help complete this form.

Before proceeding, it is important to read through the pages describing my approach as well as the sections describing the condition(s) that match your symptoms. This information will be needed to answer the questions that follow. It can be helpful to have those pages opened in separate tabs. Based on your responses, I will determine whether we would move forward to the next step of setting up a brief telephone screening.

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Please note that sensitivity to diversity, inclusion, social justice, reproductive rights, gender identity choices are woven into my person and work, as I strongly believe social wellness is necessary to achieve psychological wellness.
Pandemic and COVID-19

Although COVID cases and deaths decreased in April 2022, this pandemic is not yet over. With the emergence of BA.2.12 and BA.4 BA.5 Omicron sub-variants, infections have risen significantly even in spite of the undercounting cases because of self-administered antigen tests.

My thinking is in line with that of most Virologists and Epidemiologists who believe that vaccination together with mitigation measures such as targeted masking, air ventilation and filtration along rapid testing remain essential at this point in the pandemic. Consequently, I do require that all prospective clients show certificate of double vaccination with booster. I also encourage clients to mask when in public spaces to protect the vulnerable.

Given the continued risk of COVID-19 infections, most sessions are conducted remotely via video. However, will consider in-office sessions with one-way masking, when a client does follow reasonable covid precautions generally. I have also begun remotely treat Fear of Flying, claustrophobia and many other phobias, using oVRcome Virtual Reality (VR) technology.

Country of Residence

Occupation

COVID Precautions [Response Required]

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I am seeking treatment for one or more of the following types of OCD

I am seeking treatment for one or more of the following anxiety disorder or conditions

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Impact of pandemic and political/international events

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Please check any of the following conditions, behaviors or circumstances that apply

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Below is a list of health insurance plans I accepted. Please check if you are covered by one of these or if you will be paying out-of-pocket.

Please indicate how you will be paying for treatment

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© 2022 Robert Safion, LMHC

Treatment of Obsessional Spectrum Anxiety

6 Harris Street, Newburyport, MA 01950