Client Forms

Please download, print, read, and sign all forms below for your first appointment. If you do not have a printer, please notify Dr. Romney Ryan and she will provide you a copy at her office to fill out prior to the first appointment. Please allow 30 minutes to fill out the forms at her office.

Note: The Credit Card Authorization Form is only needed if you want Dr. Romney Ryan to have a credit card on file to bill you for services.


Please feel free to call Dr. Romney Ryan if you have any questions 707.239.2782

Therapy works best as a collaborative process where you and I will work together to identify areas where you are stuck and what steps can pull you out of the “muck” in order to live a happier, more fulfilled life.

Contact Us

Romney Ryan, PhD

Counseling for families, adults, & children

t. 707.239.2782  

633 Cherry Street
Santa Rosa, CA 95404

Romney Ryan, PhD

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