During an Outpatient Visit

Therapy, physician visits, psychology services, and subspecialty services are all part of the wide range of outpatient services available at our hospital’s thirteen sites. Here, we aim to provide you with the best tools to help you and your child prepare for your outpatient visit.

Before Your Visit:

1. Request an appointment quickly and easily online
2. Fill out the My Medication List and keep it in your wallet or purse. Share it with your doctors, pharmacist, and other healthcare professionals at ALL visits.
3. Bring your insurance card, referral (if required by insurance), prescription(s) and any related information.
4. If you are scheduled for services with a physician or nurse practitioner please provide a list of all medications and dosages (including over the counter medications) your child is currently receiving to help us service you better.
5. Read the list of Frequently Asked Questions for your child’s visit. These include important information for you to know before you come.
6. Complete the below assessments and forms prior to your visit - they should be completed and emailed back to us within 2 business days before your appointment.

7. If it is necessary for someone other than the parent or legal guardian to bring your child to his or her appointment, please complete an Authorization to Accompany Form and submit it to: scriptreferral@childrens-specialized.org no less than two business days before your child’s appointment. If the parent/legal guardian is not able to attend the visit, we ask that you try to be available by phone on the day of the appointment.

Assessments and Forms:

For all New Patient Neurology and/or Neurodevelopmental Evaluations, please complete the below forms based on your child's age and email them to: PatientFormsNorth@rwjbh.org(for appointments in Clifton, Jersey City, Newark, Warren or Mountainside) or PatientFormsSouth@rwjbh.org(for appointments in Hamilton, New Brunswick, Toms River, or Egg Harbor Township).

• Child is 30 months or younger:
  • Patient Questionnaire
  • Patient Questionnaire - Spanish
  • M-CHAT-R/F - English
  • M-CHAT-R/F - Spanish
• Child is older than 30 months:
  • Patient Questionnaire
  • Patient Questionnaire - Spanish
  • NICHQ Vanderbilt Assessment Scale - English
  • NICHQ Vanderbilt Assessment Scale - Spanish

For all New Patient Psychiatry Evaluations, please complete the below forms and email them to: PatientFormsNorth@rwjbh.org (for appointments in Clifton, Jersey City, Newark, Warren or Mountainside) or PatientFormsSouth@rwjbh.org (for appointments in Hamilton, New Brunswick, Toms River, or Egg Harbor Township).

• Patient Questionnaire
• Patient Questionnaire - Spanish
• NICHQ Vanderbilt Assessment Scale - English
• NICHQ Vanderbilt Assessment Scale - Spanish
• Screen for Child Anxiety Related Disorders (SCARED)

For all New Patient Physiatry Evaluations, please complete the below form and email it to: PatientFormsNorth@rwjbh.org (for appointments in Clifton, Jersey City, Newark, Warren or Mountainside) or PatientFormsSouth@rwjbh.org (for appointments in Hamilton, New Brunswick, Toms River, or Egg Harbor Township).

• Physiatry Intake Form
• Physiatry Intake Form - Spanish

Tour Our Sites

Click here to get get directions, contact information, and a first hand look at our sites, before you come.

Patient and Family Satisfaction

Your feedback is very important to us. During your rehabilitation visit, we hope to provide excellent care and customer service. We partner with Press Ganey, a survey company, to measure satisfaction. You may receive this survey in the mail. We hope you will discuss any concerns with any member of our team, and return the survey when you receive it.