Forms

These forms are PDF files. Please click on the link for the type of form(s) you wish to complete. You’ll then be taken to a new web page. In the upper right-hand corner you will see a Down Arrow, which will allow you to download the form on your device and a Printer Icon, which will allow you to print it out. After you save your information, you can either scan and email the form(s) to DrRon@ronaldalexander.com. bring it to your first session or mail them to Dr. Ronald Alexander at 528 Arizona Ave., Suite 211, Santa Monica, CA 90401.

If you have any problems or questions, please email virtual.rhonda@hotmail.com or call 530/918-9506.

Individual, Couple, and Family Psychotherapy Forms for All New Patients

PLEASE COMPLETE ALL THE FORMS BELOW

New Patient Intake Form – Click on the link. You’ll then be taken to a new web page. In the upper right-hand corner you will see a Down Arrow, which will allow you to download the form on your device and a Printer Icon, which will allow you to print it out. After you save your information, you can either scan and email the form(s) to DrRon@ronaldalexander.com. bring it to your first session or mail them to Dr. Ronald Alexander at 528 Arizona Ave., Suite 211, Santa Monica, CA 90401.

New Patient Information Form – Please follow the same instructions as in the New Patient Intake Form.

Informed Consent Guidelines Form – Print out this form, sign it and bring a copy to your first session.

Psychotherapy Guidelines Form – Print out this form, sign it and bring a copy to your first session.

Somatic Experiencing Consent Form – Print out this form, sign it and bring a copy to your first session.

Touch Therapy Consent Form – Print out this form, sign it and bring a copy to your first session.

Group Psychotherapy Forms for All New Patients

PLEASE COMPLETE ALL THE FORMS BELOW

New Patient Intake Form – Click on the link. You’ll then be taken to a new web page. In the upper right-hand corner you will see a Down Arrow, which will allow you to download the form on your device and a Printer Icon, which will allow you to print it out. After you save your information, you can either scan and email the form(s) to DrRon@ronaldalexander.com. bring it to your first session or mail them to Dr. Ronald Alexander at 528 Arizona Ave., Suite 211, Santa Monica, CA 90401.

New Patient Information Form – Please follow the same instructions as in the New Patient Intake Form.

Informed Consent Guidelines Form – Print out this form, sign it and bring a copy to your first session.

Group Therapy Guidelines Form – If you are participating in Group Therapy please print out this form, sign it and bring a copy to your first session.

New Client Coaching Forms

PLEASE COMPLETE ALL THE FORMS BELOW

New Client Intake Form – Click on the link. You’ll then be taken to a new web page. In the upper right-hand corner you will see a Down Arrow, which will allow you to download the form on your device and a Printer Icon, which will allow you to print it out. After you save your information, you can either scan and email the form(s) to DrRon@ronaldalexander.com. bring it to your first session or mail them to Dr. Ronald Alexander at 528 Arizona Ave., Suite 211, Santa Monica, CA 90401.

Forms New Client Information– Please follow the same instructions as in the New Patient Intake Form.

Coaching Agreement Form – Print out this form, sign it and bring a copy to your first session.

Coaching Policy Form – Print out this form, sign it and bring a copy to your first session.

Link to Website Page Describing Services for Mindfulness Based Contemporary Psychotherapy and Counseling