© 2019 Emily K. Ryzuk Counseling.

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Forms For Your First Visit

For your convenience...
Prior to our first meeting, please print out the following forms and fill them out. You can either scan them in and email them to me or bring them with you when we meet at our intake.

Intake Form - Individual Counseling

Confidentiality & Informed Consent

Patient Bill of Rights

Privacy Practices

Acknowledgement of Privacy Practices