Share your Rogers experience

Have you or a loved one spent time at Rogers? We’d like to hear about your experience with us in the form below. With your permission, we may feature part or all of your comments on rogersbh.org or in social media.

Tell us about your experience

First Name

Last name

ARE YOU 18 OR OVER? Required

yes

Patient first and last name if you are not the patient

Treatment program Required

Level of care Required

Inpatient

Residential

Partial hospitalization program

Intensive outpatient program

Treatment location Required

If you received Rogers Foundation assistance for treatment, please explain what type of assistance.

Email Required

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Please choose your preferences:

You have my permission to use part or all of my comments on the website and/or in social media.

You may use my first name on the website and/or in social media.

You may use my full name.

You may use my comments but please don’t use my name.

Typing your name below serves as your electronic signature and signifies your consent to use the content you provided. Required

Share your Rogers experience

Treating co-occurring anxiety, mood, and OCD for patients with Autism Spectrum Disorder

Call 800-767-4411 or go to rogersbh.org to request a free screening.