Amy R. Ellis, Marriage and Family Therapist

Helping Families Find Solutions

Amy R. Ellis, Licensed Marriage and Family Therapist
313 Judah St., Suite 5
Roseville, CA 95678
(916) 524-0284
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Intake Paperwork for Initial Session

At your first session, please click on, print, fill out, and bring the following forms: 

If you have the forms filled out, please come to the office at your scheduled appointment time. If you could not bring them with you, please arrive 10-15 minutes early to fill them out (Let me know so that I can have the forms waiting for you on a clipboard in the waiting room). 

Come in the front door (you'll see my name plate out front).  After entering the building, my office door is the first on the right.  If the sign says, "In Session" please wait in the waiting area.  If the sign says, "Please Knock," do so and I will be right with you. 

There is a bathroom adjacent to the waiting area. In the fridge there are waters/soda.  Please help yourself.  There are magazines in the waiting room if you would like.    

I will come and get you when it is time to begin, we will go over your paperwork together, make sure you understand the informed consent, and then you can ask me any questions you have and discuss what brought you in.  At the end, we will reschedule for the following week.

Feel free to call me between sessions with questions.  Please give 24-hour notice to cancel or if you need to reschedule.   My number is 916-524-0284.

Thanks and I'll see you soon!  I look forward to meeting you. 


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