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Rose Psychological Solutions: New Clients

Welcome to Rose Psychological Solutions. As with any initial visit to a doctor's office there are forms to be filled out before your first appointment can commence. In order to save time at your first visit and for your convenience, we have made these forms available for you to download from our website and complete at home in your own time. Once completed you can then email, fax, or mail the forms back to us.

Click to view !

If you are an adult being seen for services or if your
child is being seen for services for the first time all clients
need to complete this one-page form. Click on PDF file logo at left.

In order to best address your concerns, it is very important for us to receive these completed forms prior to your apointment date. If you have any questions, please email us at info@RosePsychological.com or call (516) 933-8402.

Communications with Rose Psychological
120 Bethpage Road, Suite 201
(516) 933-8402
Hicksville NY 11801