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Blue Mountains
Blue Mountains

Intake


Thank you for your interest in my therapy services. 
 
Please print these forms (see below), fill them out as completely as possible, and bring them to your first appointment.  I will go over them with you to answer any questions you may have.  I would like to be sure you understand the information and are comfortable before moving forward with your therapy.
 
There are 14 pages, about half of which are just reading, and the other half are to be filled out.  Completing these in advance is important and will help to ensure that you get the most out of your first therapy session.
 
If you have children, please arrange in advance for child care away from the office as there is no child care available at our office while we meet.  This will help to ensure we have a focused and uninterrupted meeting during which you receive the most benefit from the limited time we have.
 
Dr. Ralston loves animals.  However, the building does not allow pets (including emotional support animals) inside.  Officially certified service animals are welcome in the building.  For all other animals, please arrange for care away from the office while you are at your therapy sessions.
 
A scheduled session means that time is reserved specifically and only for you.  Once a session is scheduled, you will be expected to pay for the full session unless you provide at least 24 hours advance notice of cancellation.  To avoid this charge, please call at least 24 hours in advance of your scheduled session if you plan to miss or cancel.
 
Please arrive on time for your appointment and bring the following:
     * Completed Intake Forms (all 13 pages)
     Insurance card
     * Photo identification such as a driver’s license or state ID
     * Copy of your insurance card and photo identification for your file
 
I look forward to our first appointment.
 
Sincerely,
Tyler Ralston, PsyD, ABPP
 

 

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