Formularios para el Nuevo Paciente de Desarollo y/o Neurología

Si su nino (a) tiene 3 anos o es menor, complete los siguientes formularios:

Si su nino (a) tiene 4 anos, complete los siguieñtes formularios:

Si su nino (a) es 5 anos o mayor, complete los siguientes formularios:

Instrucciones para citas en persona: Por favor imprima una copia del siguiente formulario, completelo y traigalo a la proxima cita.

Instrucciones para citas de telemedicina: Por favor enviar una copia del formulario completo en format PDF al siguiente correo electronico (CSHHIMSMedRecRequests@rwjbh.org)

Lamentablemente, no podemos acceder al formato de imagen ni a las fotos de los documentos del teléfono móvil

Ademas, si su hijo/a tiene 12 años o mas, complete el siguiente formulario:

Patient Stories

  • “Dr. Quezada was wonderful,” said Melissa. “She was able to really connect with Alex and he felt the benefit of working with her. Not only did he enjoy his time with her, he saw the value of their work and how it was helping him.”

    Alex
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  • It’s hard for me to get in most people’s heads that my body is the way it is but when I go to CSH, it feels like they have quite more of an understanding, so it is more comfortable for me.”

    Victoria
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  • “Jaylon’s therapists were great with him. Their overall patience stood out to me. They were always there to help give advice and answer questions.”

    Jaylon
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Patient Stories

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