Forms
Welcome to Rosalino Counseling Services. We look forward to providing you with excellent and efficient counseling services. If you are new to RCS Counseling, please take a few minutes to fill out the form below. The information will help us to better understand your situation as well as potential solutions in helping you get your life back on track. Please note, this information is confidential, for our use only, and will not be released to anyone without your written permission.
GENERAL INTAKE FORM
Rosalino Counseling Services • 383 W. Fountain Street • Providence, RI 02903 • Suites 106 and 108
Phone
(401) 400-1863
Fax (401) 270-5322
Copyright ©2020 Rosalino Counseling Services All Rights Reserved
Providence, Rhode Island