Formularios para el Nuevo Paciente de Desarollo y/o Neurología

Si su hijo tiene 30 meses o menos, complete los siguientes formularios:

Si su hijo es mayor de 30 meses, complete los siguientes formularios:

Instrucciones para citas en persona: Por favor imprima una copia del siguiente cuestionario completado y traiga con usted a su próxima cita con su hijo.

Instrucciones para las citas de telesalud: Por favor enviar una copia del siguiente cuestionario completado por correo electrónico en formato de PDF (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

  • Everyone at CSH made me feel like my opinions and concerns were being heard, they explained every step and gave us lessons to apply at home.

    Mekhi
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  • "There are people at CSH that want to help you. When we answer that phone and open that door, we want to help make your child’s life a little bit better. We want to take some of that strain and pressure off you and make your life a little bit easier."

    Alex
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  • It was hard being in the hospital for so long, but we were grateful that CSH allowed parents to stay. The hospital had a family lounge, game nights, and lots of ways to keep the parents informed. We had weekly meetings with his care team and received daily ...

    Patrick
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Patient Stories

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