FOR NEW PATIENTS:

We understand that the first visit with a psychiatrist can be challenging. Dr. Rosen creates a warm and non-judgmental environment in which you can explain your concerns and be heard. Please fill out the relevant questionnaires before your visit to assist Dr. Rosen in providing the best possible care. 

OFFICE POLICIES AND PAYMENT

Please complete and bring to your first appointment.

NEW CHILD/ADOLESCENT PATIENT QUESTIONNAIRE

Please complete this confidential form prior to your initial appointment.

NEW ADULT PATIENT QUESTIONNAIRE

For patients 18 years old and above, please complete this confidential form prior to your initial appointment.

TEACHER QUESTIONNAIRE

For teachers/educators of patients, please complete this confidential form so that the child's performance at school may be considered in the initial evaluation.

Transportation
The office is located at 1751 Second Avenue, Suite AZ5. Entrance is on 91st street between 2nd and 3rd avenue. Please buzz for Dr. Rosen. The office is accessible by the Q train 96th street stop or the 6 train 96th street stop. Street parking is available and there are many garages in the area.

212-235-7130

DR@MiriRosenMD.com

1751 Second Avenue, Suite AZ5

New York, NY 10128

©2019 by Miri Rosen, MD, MS.