top of page

Intake forms

Below is my writeable PDF Intake form.  This form has my intake, and three assessments.  Please complete all sections of the questionnaire.  You can print the document and bring it to your appointment.  
 
We will review the information together. 
​
If you have difficulties completing the forms, we can work on them 
together.  
​
The Client Copies is for your information and records.  Please print or save the document for your records.  

Please reach out to me by completing the information below.  Thank you 

Contact

Fruitland Office:
2405 N. Whitley Dr.  Fruitland, ID 83619

​

Mailing:
P.O. Box 297 Fruitland, ID 83619

Tel: 1-208-953-1109

Fax: 1-208-953-3001

​

ronya@rhcounselingandtherapy.com

​

updated  11/4/2024

Name *

Email *

Subject

Message

Please select which office you you perfer to attend:

Success! Message received.

© 2023 by RH Counseling & Therapy, LLC. Proudly created with Wix.com

bottom of page