Rosetta Willms Intake Forms
intakeforms

Intake Forms

New Clients
After you have a confirmed appointment for your initial assessment session, download the intake forms, complete, sign and bring them to your first session. Please bring your insurance card, a photo ID, Referrals (if required by your insurance) and a co-payment (if required by your insurance)

I hold sessions in person at my private Ventura office or online through the confidential online app, Doxy. Your sessions are customized to your individual needs.

For ongoing patients, we will schedule appointments, meet at the office or on Doxy and conduct our sessions. Therapy sessions will bring at times easy and swift change, but more often it can be slow or frustrating. But the benefits from talking and applying tools to help heal will be well worth it.