InnerAction Therapy
 530.587.1978 
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Please download and complete per Polly's recommendations. Once completed, please bring the form to your session, rather than emailing it to Polly, in order to protect your confidentiality.
Intake_form_2015.pdf
File Size: 195 kb
File Type: pdf
Download File

Office_practices_2020.pdf
File Size: 146 kb
File Type: pdf
Download File

Telemental_health_consent_form.pdf
File Size: 206 kb
File Type: pdf
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Life_history_questionnaire.pdf
File Size: 256 kb
File Type: pdf
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Family_questionnaire.pdf
File Size: 251 kb
File Type: pdf
Download File

Emdr_homework.pdf
File Size: 280 kb
File Type: pdf
Download File

Release_of_information-adult.pdf
File Size: 286 kb
File Type: pdf
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Release_of_information_minor_child.pdf
File Size: 287 kb
File Type: pdf
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Minor_consent.pdf
File Size: 194 kb
File Type: pdf
Download File

Therapy for Inner Well-Being and Interpersonal Success
Schedule An Appointment
530-587-1978
inneractiontherapy@hushmail.com
Notice_of_privacy_practices.pdf
File Size: 57 kb
File Type: pdf
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Picture
Polly M. Ryan, MA, MFT
P.O. Box 2315
Truckee, CA  96160
Contact for More Information
530-587-1978

inneractiontherapy@hushmail.com

Licensed Marriage and Family Therapist
CA Lic. #MFT25464
NV Lic. #403