New Client Info and Forms


Welcome To Our Practice

We know what an important decision it is to seek therapy.  Our hope is that we can support you, in a safe and comfortable environment, through a healing and empowering process, in counseling.

At Rozell Counseling and Psychotherapy Services, we offer sensitive and empathetic psychotherapy/counseling, with a warm, realaxed, and comfortable approach.  We believe that one of the most important aspects of the theraputic process is the relationship between client and therapist, and we strive to be open, easy to talk to, caring, trusting, and empathetic.

One of our goals is to walk with our clients on a journey of self-discovery, healing, growth, and self-empowerment.  We consider it to be a true privilege to be invited on this journey with you.


Complimentary Consultation

For potential new clients, we offer a 30 minute in-person complimentary consultation.  This would allow us to meet one another, talk a bit more about your needs, and for you to determine if it feels like a good fit. If you would like to schedule this free consult, you are welcome to call us at 505-974-0329, email us at,  or send us a message via this website (please use discretion, in any cyber-communication, to best protect any confidential information).  We would love to hear from you!


New Client Forms

If you have access to a computer or device and an email address, we will send you a link to our confidential client portal and our Intake Forms and practice documents. This will allow you to complete these New Client Forms at your convenience, before your first appt, confidentially on our online client portal, to be electronically submitted.  No hard copies to print out and complete :). Thank you for your cooperation in completing and submitting these forms before your first appt. 

If you do not have access to a computer or an email address, please follow these instructions to print out and complete these paper forms to bring with you to your first appointment. 

Thanks very much! 

Please click on the links, found in the "New Client Forms" section, below.  The two forms to complete and bring with you are: 1) Client Intake Form and 2) Counseling Agreement Form.

*The Notice of Privacy Practices Form is just for you (please consider printing out this form in black and white).

*Please note that, you will be asked to sign, on your Intake Forms, that you received this notice, and agree to it's content.

* If you find you have questions, related to these forms, please make note of them, as you and your therapist, will have the opportunity to review these forms together.

New Client Forms

Please click on a file to download and print (once the form is open, please click on the "Enable Edit" link, in order to print out the form, and consider printing the Privacy Notice in black and white). Please complete the forms and bring them with you to your first session.  Thanks so much, in advance, for completing these forms.