First Visit Client Forms

Please download, print, read, and sign all forms for your first appointment. If you do not have a printer, please notify Dr. Ryan and he will provide you a copy at his office to fill out before the first appointment. Please allow 30 minutes to fill out the forms at his office. Note: the Credit Card Authorization Form is only needed if you want Dr. Ryan to have a credit card on file to bill you for his services. However, all other forms are required.  Thank you!

Credit Card Authorization Form

Informed Consent Guidelines

Notice of Privacy Practices

Practice Intake Form

Copyright © Santa Rosa Psychologist & Jungian Analyst, Dr. Eric Ryan | NLD Marketing