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  Printable version

New Dr. Signup Packet

Welcome to Rosen Coaching. I am excited to walk this journey with you. Please follow these directions very closely as the more I know about you and your practice the better I can serve you.

  1. Print out these directions
  2. Complete the 'Free Consultation Questionnaire' – If you have already completed the Free Consultation Questionnaire, you can skip this step.
    1. Download the agreement & questionnaire, it is available either as MS Word or Adobe PDF
    2. Sign the agreement and complete the questionnaire
    3. email the completed questionnaire to surveys@rosencoaching.com or...
    4. Fax the completed questionnaire to us at (808) 878-8385 or...
    5. Mail the completed survey to us at:
      59 Holomakani Dr.
      Kula, HI
      96790
  3. Complete the Additional questions and Coaching Agreement for coaching with Dr. Rosen.
    1. Download the agreement and questionnaire, it is available either as MS Word or Adobe PDF
    2. Sign the agreement and complete the questionnaire
    3. email the completed questionnaire to surveys@rosencoaching.com or...
    4. Fax the completed questionnaire to us at (808) 878-8385 or...
    5. Mail the completed survey to us at:
      59 Holomakani Dr.
      Kula, HI
      96790
  4. Read "Your $300 start up fee includes". Note: Rosen Coaching will contact you to set up your:
    • Behavioral Analysis De-briefing
    • "Special consultation" with Dr. Rosen
    • Financial consultation
  5. To fill out your behavioral analysis questionnaires and receive your “Team building success and motivation reports” contact Kat at Rosen Coaching, 808 878-8384 or kat@rosencoaching.com
  6. Print, fill out and fax each of these forms to Dr. Rosen as soon as possible:
    1. Stat Sheets Directions
    2. Staff Evaluation (please fill out yourself)
    3. Stats (previous 12 months) (have C.A. fill out)
    4. Service Routine form (have C.A.fill out)
  7. Print forms to use for keeping stats on the:
    1. Daily, weekly, monthly stats form
    2. Month/year stats form
      Have your C.A. fax these month end results to Rosen Coaching at the end of each month.
    3. New Patient Retention stat sheets (monthly | yearly)- Have your C.A. Fax these month end results to Rosen Coaching at the end of each month.
  8. Print the Pre-Coaching Preparation form. Fill out and email or fax to Dr. Rosen 24 hours prior to each coaching session with Dr. Rosen. This is a great way to prioritize your thoughts, get the most out of each session and journal your progress.