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Please read the following options carefully before requesting an appointment at Children’s Specialized Hospital.

At this time we are not accepting new patients for psychology counseling services. If you are a New Jersey resident and have an need for behavioral health, developmental disability, or substance use services for your child, we encourage you to contact New Jersey Children’s System of Care at 1-877-652-7624. The Children’s System of Care, administered by PerformCare, connects New Jersey families to services their children need. You can also visit their website at www.performcareNJ.org for more information.

 

 

 

Child’s First Name*:  
Child’s Middle:  
Child’s Last Name*:  
Parent/Guardian's First Name*:  
Parent/Guardian's Last Name*:  
DOB*:  
Insurance:  
Ins ID:  
Service*:  
Preferred Phone number*:  
Email:  
Preferred time*:  
Best time to call*:   - -
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