New Clients

Inquire about services for yourself or refer a client to ROCACP

Questions? Contact us.

Are you interested in services for:
- Yourself
- Someone Else (Minor Referral)
Please enter your information below, and our staff will get back to you to get your details.
Please enter YOUR INFORMATION below, and our staff will get back to you to get the patient details.
Name*
First Last
Email*
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I'm interested in:
- Outpatient Mental Health Clinic (OMHC)
- Psychiatric Rehabilitation Program (PRP)
- School-Based Mentoring
- Substance Abuse
- Workforce Development
- Anger Management
Your Message
Name
This field is for validation purposes and should be left unchanged.