New Jersey Pediatric Feeding Associates & Therapy Center, LLC
All the ingredients for a happy & healthy child!
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About Us
Nancy Calamusa MA CCC SLP
Yi Chien Wang, MS CCC SLP
Dana Schrager, OTR
Jamie Bergstein, OTR
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VitalStim Therapy
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Below is a complete list of the forms you will need to complete for your child once the appointment is scheduled. Please note, these forms must be submitted prior to the evaluation.
Document Library
Name
Description
Feeding History Form
Please complete prior to your appointment
How to prepare for your feeding evaluation
feeding evaluation information
Sensory Checklist
Oral, Tactile, Movement, Touch, Sound, and Noise assessement to assist your therapist during the evaluation
NJPFA Financial Policy
Must be completed prior to evaluation appointment
Insurance Policy Payment Form
Required to be signed and returned prior to evaluation
Speech & Language Evaluation History Form
Required for all speech & language evaluations prior to appointment
2008New Jersey Pediatric Feeding Associates & Therapy Center, 150C Tices Lane, East Brunswick, NJ 08816
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