Rosario Counseling & Associates

Be Renewed by the Transformation of your Mind

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New Patient Paperwork

For your convenience please download, print, and complete the following 3 steps for new patient paperwork.  Bring your completed paperwork to your first appointment.

Step 1 - Disclosure Statements for Therapists.  
Please click on the name of your therapist below to download the correct form.

  • Robin Rosario, MA, LPCS

  • Angela Mills, MA, LPC

  • Beth Boldt, MSW, LCSW

  • Joy Tanner, MA 


Step 2 - Patient Initial Intake Form 

Step 3 - Patient Comprehensive Checklist

 

Rosario Counseling & Associates
809 Spring Forest Road, Suite 1000
Raleigh, NC 27609
Phone (919) 649-5882
Fax (919) 521-8175
manager@rosariocounseling.com 

The content of this website, and any services contained therein, is not intended to, and does not provide professional advice, diagnosis, or treatment.  Any communication with the counselor through this website does not establish a counselor-patient relationship.