fotolia_61579543Intake forms you can download, print and bring to your first session.


Instructions: Click on the form-links (1-4) below – they will individually open in Acrobat Reader.

You can Print (File / Print) and optionally Save Page As (File / Save Page As) from the Acrobat PDF viewer screen.

Note: If you do not have Acrobat Reader loaded on your computer there is a free download at: or search Google.




  1. Ruth Intake Form

  2. HIPPA Client Rights

  3. Disclosure Form

  4. Office Procedures



If you have any questions or problems with the forms please Contact Me.