Striving for the Total Child

Pediatric Rehabilitation of North Jersey is dedicated to providing comprehensive and caring services that allow for all children to achieve their potential within themselves, their families and communities.

Registration Forms
Please download the appropriate forms
- Basic Registration Packet
  Patient Registration Form
  Patient Medical History Form
- Counseling Registration Packet
  Counseling Intake 1
  Counseling Intake 2
- Speech Registration Packet
  Speech Intake
ACKNOWLEDGEMENTS
- “....a true advocate for their patients progress and welfare.” Derecho Family, Wanaque, NJ
- “....the healing process starts the moment we walk in the door…truly knowledgeable healer....” Posnack Family, Clifton, NJ
- “....your dedication and sincere commitment to the very sick children everywhere deserves to be commended….Thanks to all you have done for them, the babies returned home to the Dominican Republic with the promise of a bright future.” Healing The Children Midatlantic, INC.
- “The speech therapy at PRNJ has been a life-changing experience for my entire family. Although Willow is non-verbal and unable to use her hands for any kind of gesturing or sign language, she was taught by Faith Bell to communicate her basic wants and needs with universal picture symbols. If it were not for Ms. Bell's knowledge and persistence, we know that Willow would not have any form of communication. We thank Ms. Bell and PRNJ for never giving up on our daughter." Maria & Michael Bross
- "I have brought my 25 month old, autistic son to see Faith Bell for speech therapy for about 6 months now. She has really helped him tremendously. Faith connected with my son from the first meeting. She is always punctual, upbeat and helpful with ways I can continue the progress at home. The way she draws the words out of him makes me see so much hope. Plus, she makes playtime so much fun and engaging, we look forward to 'speech time' with Faith every week. I could never thank her enough for helping my son progress so far." Jessica from Glen Rock, NJ
- "Lauren B, mother of a 6 year old girl writes" the 9 week Parenting Education Series, is a really important service that I have never seen offered anywhere else! It really helps when parents have a chance to get together to learn from and support each other through such a challenging time. I am so very glad Pediatric Rehabilitation offers this to families.."

www.nettiauto.com

Striving for the Total Child

Registration Forms

Basic Registration Packet

Counseling Registration Packet

Speech Registration Packet

ACKNOWLEDGEMENTS