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Printable Forms

New Client Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.  Alternatively, you can download the Client Information Form, Intake Form, and Release of Information Form, fill them out electronically, and return via email.  The Informed Consent needs to be hand signed, please.
Informed Consent and Disclosure Statement
File Size: 171 kb
File Type: pdf
Download File

Intake Form 2020 - Fillable
File Size: 905 kb
File Type: pdf
Download File

Client Information Form - Fillable
File Size: 104 kb
File Type: pdf
Download File

Current Client Forms

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Release of Information - Fillable
File Size: 144 kb
File Type: pdf
Download File

Note: To download Adobe Acrobat Reader for free, click here.
Contact Us
Ross Counseling, PLLC
12202 Pacific Avenue S
Suite A
Tacoma, WA 98444
​

Phone: (253) 625-0662
Fax: (253) 276-0110

davidr@rosscounselingpllc.com

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CONTACT US

Ross Counseling, PLLC
12202 Pacific Avenue S
Suite A
Tacoma, WA 98444
(253) 625-0662


Click Here to Email Us

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Website by ​TherapyPrime
  • Home
  • About
    • My Philosophy
    • Meet David
    • Rates & Insurance
    • Tour Our Office
    • Privacy Policy
  • Therapy
    • Adolescents >
      • Mood Disorders
      • Anxiety Disorders
      • Conduct Disorders
      • Oppositional Defiance
      • Emotional Disturbance
      • Depression
    • Mental Health >
      • Mood Disorders
      • Depression
      • Bipolar Disorders
      • Anxiety Disorders
      • Adjustment Disorders
      • Post-Traumatic Stress Disorder
      • Borderline Personality
    • Couples >
      • Parenting Support
      • Relationship Counsleing
    • Personal Growth >
      • Self Esteem
      • Social Skills
    • Coping Skills >
      • Grief Counseling
      • Self-Harming
  • Resources
    • Printable Forms
    • What To Expect
    • Helpful Links
    • Common Questions
  • Blog
    • Talking To My Child
    • Talking To My Partner
  • Contact
    • Book Appointment
    • Refer a Friend
    • Connect With Us