ABHC Website

1. Thank you for your interest in our lab!

In order for your request to be processed quickly and efficiently, please fill in all of the following information. You will then be contacted by telephone to determine your eligibility and/or schedule an appointment.

ALL INFORMATION WILL REMAIN CONFIDENTIAL

Please allow 24-48 hours to be contacted by our staff.

1. Full Name

Full Name

2. Preferred Phone Number
ex. 8505551234

Preferred Phone Number ex. 8505551234

3. May we leave a message?

May we leave a message? yes

4. E-mail address:

E-mail address:

5. Are you a student at Florida State University?

Are you a student at Florida State University? yes

6. Please indicate the studies you are interested in participating in.

Please note that all studies require a brief telephone screening to determine eligibility.

	yes
Smoking Cessation Treatment	Please indicate the studies you are interested in participating in. Please note that all studies require a brief telephone screening to determine eligibility. Smoking Cessation Treatment yes
Prenatal Education Classes	Prenatal Education Classes yes
Information Processing for OCD & SAD	Information Processing for OCD & SAD yes
Treatment for GAD	Treatment for GAD yes
Treatment for Hoarding	Treatment for Hoarding yes
Treatment for Spider Phobia	Treatment for Spider Phobia yes

7. Questions? Comments?

If you have any questions concerning any of the studies, please refer to our website. If you have additional questions or if you wish to include a comment or some other information that may be relevant to your participation or contact information (best time to contact you), please use the space provided below.

Questions? Comments? If you have any questions concerning any of the studies, please refer to our website. If you have additional questions or if you wish to include a comment or some other information that may be relevant to your participation or contact information (best time to contact you), please use the space provided below.

8. Is the information provided above about yourself?

Is the information provided above about yourself? YES, this is my information

NO, I filled out this information for someone else

If NO, please provide YOUR name and phone number in the space below.

Anxiety and Behavioral Health Clinic
214 Regional Rehabilitation Center
Florida State University
Tallahassee, FL 32306
(850) 645-1766
abhc@psy.fsu.edu