Forms for Patients

Following are links to several forms for patients. Please click each form’s title to download, then print, read, and fill out the appropriate forms and bring to your appointment with Dr. Rosenman. Thank you!


Click here for a list of general resources.


Before your first visit, please read:



Important Office Policies



Notice of Privacy Practices

Then click to securely complete these forms online:

New Patient Registration


Medical History Form


Authorization to Release Health-Care Information
(for communication with your other health-care providers)

Medical Counseling offers individual consulting, online classes, and therapy/support groups that use neuroplasticity, psychotherapy (counseling), meditation, guided imagery, affirmations, journaling, relaxation techniques, intuition, music, art, movement, and other strategies to help alleviate pain, recover rapidly from surgery, reduce side effects of medical treatment, help with anxiety, depression, and stress, decrease risk of medical conditions such as high blood pressure and heart attack, and improve quality of life. These powerful tools help people living with cancer. With offices in the Claremont neighborhood of Berkeley, we provide medical guidance and recommendations to residents of the East Bay and the entire San Francisco Bay Area, including Albany, Berkeley, Contra Costa County, El Cerrito, Hayward, Kensington, Lafayette, Marin County, Oakland, Piedmont, Richmond, San Leandro, Walnut Creek, and beyond.

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