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Appointment Request Form
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Email
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Phone
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Are you a MediCal member?
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Are you a MediCare member?
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Are you seeking services through the Family Culture Coaching Alliance with Yes2Kollege Educational Resources, Inc.?
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How did you hear about The Rosetta Center?
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Tell us briefly what you are seeking support for. Please note: we do not take custody cases, active legal cases (except Victim Witness), or workers compensation cases.
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