• Home
  • About
  • Approach
  • Philosophy
  • EMDR
  • Services & Fees
    • Free Phone Consultation
  • Forms
  • Blog
  • Contact

Forms

Please Click to Download Forms

INTAKE FORMS

Insurance Billing Information Form

Adult Intake

Child Intake

Child Intake Supplemental

Roxanne George, PhD, LMFT, EMDR Certified; Acacia Rising Counseling; 195A SR 240, Ranchos de Taos, NM 87557; Phone: (575) 758-4270; Cell/Text: (541) 389-5050; Email: acaciarising@proaxis.com

  • “My wife and I met with Roxanne during a difficult bump in our marriage. We were given the tools and ability to discuss our problem, find root cause, and head down the right course. We’re stronger than ever!” – SC

    “I met with Roxanne to acquire help with debilitating anxiety. I had failed terribly with other therapists. Roxanne created a safe space where I was able to talk without fear. I received help and skills from the first session. With her help, I was able to overcome and virtually eliminate my panic attacks. She made me go deep, but my safety was always her priority.” – KA

    “Roxanne has been a solid guide to me in my life, leading the way for me through some of the darkest times of my life.  When I thought there was a bottom, it dropped out.  I have a renewed relationship with my dad because of the therapy she has taken me through.  I feel like I’m finally reaching a place of true enlightenment, with tools from several sources, but Roxanne’s sessions were the catalyst for pulling me in to the right track in a whirlwind existence of confusion and false promises. Roxanne is really talented and brilliant at what she does, and I’m so thankful to have found her.” ~ J.R.

    “What a great therapist! What a great human being! Dr. Roxanne George (Dr. Rox) is so intuitive and her language in itself is healing – but try to identify “the” specific words of healing and you cannot… But what she is, is Honest and Intellectually and Emotionally available for you – every step of the way. In a very, very short time of seeing Dr. Rox, I was so much further ahead on the learning curve than I could have ever imagined! I feel very lucky to have found such a good therapist. The Best!”

Copyright © 2025

View Full Site