REGISTRATION FORMS

Electronic Registration:
  1. To complete registration forms electronically please click here.

  2. Please submit a release form for each individual you would like Genpsych to communicate with (emergency contacts, psychiatrist, therapist, primary care physician, etc.).
     

If you would prefer to print and scan the registration forms, please click download links below, and read the corresponding instructions.

Adult program intake forms

Teen/adolescent program intake forms

Adult program intake registration packet instructions:
  • All insurance information must be filled out.

  • 3 emergency contacts (parents are included)

  • Releases must be filled out and signed for every emergency contact.

  • Release forms must be filled out for anyone you want GenPsych to have communication with. (ex. referral, psychiatrist, therapist, etc.)
     

Teen/adolescent program intake registration packet instructions:
  • When filling out demographic information provide the patient’s info (with the exception of phone numbers and emails addresses)

  • All insurance information must be filled out.

  • 3 emergency contacts (parents are included)

  • Releases must be filled out and signed for every emergency contact.

  • Release forms must be filled out for anyone you want GenPsych to have communication with. (ex. referral, psychiatrist, therapist, etc.)

WHAT OUR CLIENTS SAY

“I’ve been to other treatment facilities in NJ and have been in and out of hospitals. This was the first time I actually felt heard and respected.”

 “It was a comfortable atmosphere, the docs were good and the food was pretty great too. They order from a local pizza place.”

“The people there were cool. You have to turn in your phone during group but I got used to it. I was suicidal before but now I’m not. I’d go back if I had to.”

“Finally, I have therapists that actually listen to me. I would recommend GenPsych to anyone who has tried other facilities and haven’t gotten results.”

“There were ups and downs and sometimes I wasn’t the easiest person to deal with, but they were patient with me and explained the process all the way through. The groups were awesome too!”

ABOUT

Founded in 2005, GenPsych is New Jersey’s premier mental health and substance abuse treatment provider. We treat mental health illness, drug & alcohol addiction and eating disorders. GenPsych is dedicated to helping our clients regain their emotional and physical health in a safe, supportive environment.

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