Office Information and Forms

Required before appointment

Office Information and Forms

DIRECTIONS

Rochester Center for Sexual Wellness is conveniently located just off of I-490 in Rochester.

Coming from the West: Take the Penfield Road Exit from I-490, make a left on Penfield Road and continue for about 4.5 miles. Make a left at Panorama Trail and a left at the sign for 625 Panorama Trail. We are in the building in the back.

Coming from the East: Take exit 25 for NY-31F toward Fairport/E Rochester. Turn right onto NY-31F E/Fairport Rd. Turn left onto NY-153 N/S Washington St. This road becomes Panorama Trail. Make a left into 625 Panorama Trail right after crossing Penfield Road. We are in the building in the back.

If you are late or lost and have an appointment, please call the office, or the number your provider has given you.

Working Hours

  • Mon: 8am – 7pm
  • Tue: 8am – 7pm
  • Wed: 8am – 7pm
  • Thu: 8am – 7pm
  • Fri: 8am – 5pm
  • Sat: 8am – 12pm
  • Sun: Closed

(Please note that the office is open by appointment only.)

Informational Forms

Medical Intake Form
Therapy Intake Form

The following three forms should be completed for every appointment type.

Consent for Treatment
Release of Health Information
Distance Therapy Policies and Consent

Your provider will let you know if you need to review and complete any of the following forms.

RCSW Credit Card Payment On File Form
Daniel Rosen New Client Information
Scheduling Appointments

Please call 585-865-3584 to schedule appointments. Leave us a message and we will call you back as soon as possible. You can also fill out our contact form here on the website.

Office Accessibility

The office is located on the second floor. The building is handicapped accessible with an elevator. Please let us know when you schedule your appointment if you have other accessibility needs. There is free parking.

Timeliness

We know your time is valuable and make every effort to keep on schedule. Please call if you are running late or if you are on your way, but please note that your appointment time will not be extended due to a late arrival and you may be asked to reschedule.

Cancellation/No-Show Policy

Your appointment time is reserved especially for you. Please call at least 48 hours prior to your scheduled appointment if you will be unable to keep your appointment. This allows us to offer that time to another patient. You may be charged for late cancellations and no shows.

After Hours and Emergency Access

If you have a life-threatening medical emergency, please call 911 immediately. For medically urgent but non life-threatening issues, Dr. Kranz can be reached at 585-355-5708. This is a service available to registered patients of the practice only. Most importantly, never delay emergency treatment. All non-urgent issues should be addressed by calling the main office telephone number 585-865-3584 where a message can be left anytime. During the times when Dr. Kranz may be out of town or otherwise unavailable, urgent patient issues will be forwarded to another physician with whom coverage has been arranged.

Financial/Payment Policy

Payment will be collected at the time of service. We can accept checks, cash, and credit cards. A $30.00 fee will apply for all returned checks, in addition to the amount originally owed. You are responsible to pay any billed amount upon receipt of a statement.

Prescriptions Policy

Only prescriptions written by Dr. Kranz will be available for refill through our office. We will not provide prescription refills for medications prescribed by other physicians.

Collaboration with your primary care and other providers

Written consent will be obtained for collaboration between Dr. Kranz and your other medical providers. This consent is not required for care but is strongly encouraged as it is safest for you—for example, your other doctors will need to know about all medications you are prescribed for your own safety. Consent can be limited to certain information. While it is useful to communicate about diagnoses and treatments your other providers likely do not need detailed information on your sexual history. If you have any concerns about this at all, please be sure to address this with your provider.

Other Non-Covered Services

Medical records: Upon written request, a copy of your medical records can be provided to you. There will be a charge of $0.75 per page. This policy does not apply to therapy records.

Email Policy

Email is a convenient and efficient way to communicate non-urgent questions, requests, and messages you may have. Our providers offer HIPAA protected email through Practice Fusion’s patient portal or through an encrypted email server, Virtru. Patients need to understand that the confidentiality of email exchanges on unprotected platforms (such as gmail) cannot be guaranteed. While the security of email is still comparable to other forms of communication, there are some special conditions that apply to email:

  • If your email address is through your employer, your employer may own all emails sent to that address.
  • If your family shares your email address, other family members may see your messages.
  • If you use an Internet service provider, there is a small risk that messages may be intercepted by others (“hackers”).

What types of communication are appropriate for standard email?

  • Prescription refill requests
  • Appointment scheduling concerns or questions
  • Non-urgent medical advice or follow-up (including some types of test results) – preferably through a secure email platform such as the patient portal or Virtru.
  • Billing/insurance questions

The following subjects are never appropriate for standard email:

  • Any urgent medical problem or emergencies that require immediate response
  • Alcohol and substance abuse problems
  • Legal matters

Patients who choose to email personal health information do so at their own risk. We are not responsible for email information that is lost or undelivered due to technical failures. Please keep in mind that although email is a very effective tool, it is not a substitute for personal visits for examination and counseling with your doctor.

Privacy Policy

Please click here to view the patient privacy statement. Please do not hesitate to contact me if you have any questions about the content of this document.

Distance Therapy Policy

The Rochester Center for Sexual Wellness is pleased to provide sex therapy, sexual medicine services, and general psychotherapy either via telephone or secure video. Telehealth and teletherapy are growing dimensions of service provision. Whether it is difficult to access a provider in your area, the convenience of therapy from home or work, or anxiety about face to face contact; remote counseling can be a viable option to meet your needs. It is helpful if treatment can include face to face meetings. However, we do not require this.

As with any counseling or medical arrangement, there are rules and consumer protections. Here are some of the significant components that are specific to distance therapy and health:

  1. PROTECTING YOUR PRIVACY: We care deeply about your privacy and also must comply with HIPAA privacy regulations. For this reason, except in cases of emergency, we do not use Skype or other unsecured conferencing platforms. Secure videoconferencing is available through Secure Video (securevideo.com) or Doxy.Me. Therapy is compliant with privacy laws simply by using a telephone.
  2. PAYMENT: You must pay for services rendered and for the time saved for your appointments. (Appointments cancelled less 48 hours before the appointment start time may be charged a late fee, up to the full amount of the appointment fee). Paypal, checks, and Square credit card payments are available. You may be charged a 4% fee for manually entered credit card payments.
  3. All other policies of Rochester Center for Sexual Wellness and the general psychotherapy practice of Daniel Rosen, LCSW-R, CST apply to both distance and in-person counseling.

This practice is inclusive of all persons: transgender, gay, lesbian, pansexual, polyamorous, kinky, sex work, asexual. We do not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations. We are committed to providing an inclusive and welcoming environment for all members of our staff and clients.