Is Rose Hill A Fit For You?

Tell Us About Yourself

What is your relationship to the prospective resident?

Self Parent/Guardian

Are you or your loved one over the age of 18?

Yes No

Have you or your loved one been diagnosed with (check all that apply):

Bi-Polar disorder Schizophrenia Schizoaffective disorder Borderline personality disorder Major depressive disorder Depression / anxiety Other

Have you or your loved one been stabilized on medication for at least 30 days?

Yes No

Have you or your loved one been sober/clean for at least 30 days?

Yes No

Our immersive residential mental health treatment program is 6 – 12 months in length; are you or your loved one willing to make this commitment to you or your loved ones mental health?

Yes No

I understand that Rose Hill Center is primarily a private pay program and that I will be responsible for payment. (Some financial aid may be available on a select/limited basis; details can be discussed during the Admissions process).